Wallys Clinical Services LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WALLYS CLINICAL SERVICES LLC

Practice address

933 Rockford St Ste 5
Mount Airy, NC 27030-5323

Phone

(336) 466-4777

Fax

(336) 789-1161

NPI assigned

Jul 12, 2024

Organization subpart

No

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

Authorized official

Name

Jessica S Scott, PHARMACISTNPI 1427208131

Title

Owner/Authorized Official

Phone

(336) 466-4777

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Stroupe Scott, PHARMD

  • Pharmacist
  • Mount Airy, NC
  • NPI 1427208131
  NPD Authorized official
• Molly Christine Hamilton, MD

  • Family Medicine Physician
  • Eden, NC
  • NPI 1346860848
  NPD

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1730926031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 ROCKFORD ST STE 5",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305323",
            "telephone_number": "336-466-4777",
            "fax_number": "336-789-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 ROCKFORD ST STE 5",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305323",
            "telephone_number": "336-466-4777",
            "fax_number": "336-789-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLYS CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "336-466-4777",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Michael Wayne Wall, LPC
• Michelle Deanna Wall, PA-C
• Wallys Pharmacy Inc
• Jill Warren, OTR/L
• Brittany Dejrune' Watson
• Daniel Dean Watson, NP
• Jennifer B Watson, PTA

• Multi-Specialty Clinic/Center in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.