Wilson Allen Haddock, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

42500 Issued in SC

Practice address

804 S Cashua Dr
Florence, SC 29501-6311

Phone

(843) 269-9980

NPI assigned

Sep 2, 2020

Last updated

Sep 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart Stores East LP

  dba Walmart Pharmacy 10-3638

  • Community/Retail Pharmacy
  • Florence, SC
  • NPI 1497159305
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1619581048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SIDEWAY LN",
            "city": "CORDOVA",
            "state": "SC",
            "postal_code": "290399280",
            "telephone_number": "803-515-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S CASHUA DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016311",
            "telephone_number": "843-269-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOCK",
        "first_name": "WILSON",
        "middle_name": "ALLEN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Rose Guyton, PT
• Paul Gwengi-Anam, D.D.S
• H. W. Haney, DMD, PA.
• Hansel Curt Haase, MD
• Yazan S Haddadin, MD
• Brenda L Hagen, DO
• Matthew Aaron Hagler, PHD
• Linda Denell Hailes, RN
• Alison N Hair
• Hilary Hughes Hales, LISW-CP

• Pharmacist in Florence, SC
• Providers in Florence, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.