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WALMART PHARMACY NPI 1750785127


NPI Information

NPI: 1750785127
Provider Name: WALMART PHARMACY
Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 42D2181872

Address:
3812 LIBERTY HWY
ANDERSON, SC
ZIP 29621
Phone: (864) 231-6071
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WALMART PHARMACY is a pharmacist in Anderson, SC. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. WALMART PHARMACY NPI is 1750785127. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3812 LIBERTY HWY
ANDERSON, SC
ZIP 29621-344
Phone: (864) 231-6071
Fax: (864) 231-6073

The provider's authorized official is Dennis Van Peterson .
The authorized official title is Pharmacist and has the following contact phone number (864) 231-6071.

The CLIA number assigned to this NPI record is 42D2181872 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2014 and was last updated on 10/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist05847SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11234567MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.