Wallace Drug Co Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WALLACE DRUG CO INC

Practice address

100 W Main St
Wallace, NC 28466-2902

Phone

(910) 285-3101

Fax

(910) 285-5834

NPI assigned

Oct 7, 2006

Last updated

Sep 11, 2025By 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

Edgbert McLemore, RPH

Title

Owner/Pic

Phone

(910) 285-3101

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760579965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662902",
            "telephone_number": "910-285-3101",
            "fax_number": "910-285-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "EDGBERT",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "910-285-3101",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "05081",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315234",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3426118",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Austen Trull, OTR/L
• Urgent Care of Wallace, PLLC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1352)
• Walgreen Co. (Walgreens #10088)
• Kayla Sholar Walker, FNP
• Wallace Gardens Inc
• Wallace Opco, LLC (Day Springs of Wallace)
• Wallace Urgent Care LLC
• Charles Edward Walton II, PA
• Samuel H Weatherford, PA-C

• Durable Medical Equipment & Medical Supplies in Wallace, NC
• Providers in Wallace, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.