Wall Drugs of Florence, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50007436 Issued in SC

Legal business name

WALL DRUGS OF FLORENCE, INC.

Practice address

1337 S Irby St Ste a
Florence, SC 29505-2784

Phone

(843) 667-0759

Fax

(843) 667-0506

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Derrick Allan Wall

Title

Owner

Phone

(843) 386-6135

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• MEDICINE MART Doing business as
• Wall Drugs of Florence Doing business as

Locations

Practitioners 1

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

• Michael Lewis Porter, RPH

  • Pharmacist
  • Florence, SC
  • NPI 1588747695
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1861545113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S IRBY ST STE A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S IRBY ST STE A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052784",
            "telephone_number": "843-667-0759",
            "fax_number": "843-667-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL DRUGS OF FLORENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-386-6135"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50007436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4213586",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774367",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE MART",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wall Drugs of Florence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co .
• Brenda Ann Walker, SOCIALWORKER
• Jennifer Walker, PT
• Johnson B Walker, MD
• Joy Grimes Walker
• Brantley Wallace, PHARMD
• Christy Bankston Wallace, O.D.
• Jasmika Wallace
• Kelsey Wallace
• Lisa M. Wallace, FNP

• Community/Retail Pharmacy in Florence, SC
• Providers in Florence, 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 Mar 5, 2026; 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.