Walhalla Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12069 Issued in SC

Legal business name

WALHALLA PHARMACY LLC

Practice address

206 E Main St
Walhalla, SC 29691-1927

Phone

(864) 916-0680

NPI assigned

Apr 4, 2015

Last updated

Apr 4, 2015By 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

Dr. Youssef George Elaffy, PHARM-D, CGPNPI 1568861136

Title

Owner, Pic

Phone

(864) 916-0680

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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.

• Youssef George Elaffy, PHARM-D, CGP

  • Geriatric Pharmacist
  • Walhalla, SC
  • NPI 1568861136
  NPD Authorized official

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

{
    "created_epoch": "1428105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428105600000",
    "number": "1972998128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DOWNS LOOP",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312009",
            "telephone_number": "864-916-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296911927",
            "telephone_number": "864-916-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALHALLA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-04",
        "last_updated": "2015-04-04",
        "status": "A",
        "authorized_official_last_name": "ELAFFY",
        "authorized_official_first_name": "YOUSSEF",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "864-916-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM-D, CGP"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "12069",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "12069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Talley, LPCA
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• Threehorn LTD. Co. (Five Points Behavioral Health Services)
• Upstate Counseling & Consulting LLC.
• Walhalla Pharmacy LLC (Walhalla Pharmacy)
• Jacqueline Gabrielle Wiles, APRN, FNP-BC
• Brandy D. Williams, COTA
• Melanie Williams, SSP, NCSP
• Willow Branch Counseling and Consulting
• Erin Joy Wilson, OTD, MSR, OTR/L

• Community/Retail Pharmacy in Walhalla, SC
• Providers in Walhalla, 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 Apr 4, 2015; 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.