Wal-Mart Pharmacy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WAL-MART PHARMACY

Practice address

4875 Old York Rd
Rock Hill, SC 29732-8127

Phone

(803) 323-2091

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Adriana Renee Houston, PHARMD

Title

Staff Pharmacist

Phone

(803) 381-3103

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ability Network2,173 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Walmart

  • Community/Retail Pharmacy
  • Georgetown, SC
  • NPI 1912381799
  NPD tax ID

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1982158622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 OLD YORK RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328127",
            "telephone_number": "803-323-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 OLD YORK RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328127",
            "telephone_number": "803-323-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "803-381-3103",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA PHARMACY LICENSE",
            "identifier": "36649",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Wagner, CCC-SLP
• Bruce A Wahler, D.C.
• Suzanne Renee Wahler, D.C.
• Ty Wainwright, RBT
• Janiya Waiters
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, L.P.
• Wal-Mart Stores, Inc.

• Clinic/Center in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.