Professional Pharmacy of Greer, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1074 Issued in SC

Legal business name

PROFESSIONAL PHARMACY OF GREER, INC

Practice address

320 Memorial Dr
Greer, SC 29650-1521

Phone

(864) 877-3386

Fax

(864) 877-3859

NPI assigned

Oct 19, 2006

Last updated

Jan 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Don Wall, R. PH

Title

Owner

Phone

(864) 877-3386

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Professional Pharmacy of Greer Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Pharmacy of Greer, Inc

  • Durable Medical Equipment & Medical Supplies
  • Greer, SC
  • NPI 1912126707
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lukas William Hannon, PHARMD

  • Pharmacist
  • Greer, SC
  • NPI 1548892425
  NPD (past)
• Timothy Addison Sloan, PHARMD

  • Pharmacist
  • Lyman, SC
  • NPI 1164947222
  NPD (past)
• Justin Tyler Steadman, PHARMD

  • Pharmacist
  • Greer, SC
  • NPI 1063853349
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1689756777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MEMORIAL DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501521",
            "telephone_number": "864-877-3386",
            "fax_number": "864-877-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MEMORIAL DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501521",
            "telephone_number": "864-877-3386",
            "fax_number": "864-877-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY OF GREER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-877-3386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "1074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710743",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610743",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Pharmacy at Mt View in
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• Professional Pharmacy of Greer, Inc
• Progrin Dental of Greenville
• Progrin Dental of Greer, LLC
• Progrin Dental of North Greer, LLC
• Donna Prymak

• Community/Retail Pharmacy in Greer, SC
• Providers in Greer, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.