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Wall Drugs of Johnsonville, Inc.

Pharmacy in Johnsonville, SC · enumerated 2006 · authorized official Derrick Wall, Owner Rph.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245321363

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Registry record

Entity type Organization (Type 2)
Legal business name Wall Drugs of Johnsonville, Inc.
Practice address 239 Stuckey Street, Johnsonville, SC, 29555
Fax (843) 380-1025
Enumeration date Sep 27, 2006
Last updated in NPPES Feb 12, 2021

Taxonomy & classification

333600000X Pharmacy Suppliers · License 50006733 (SC) Primary

Authorized official

Name Derrick Wall
Title Owner Rph

Other identifiers

Identifier Type State Issuer
4224274 Other - NABP # NCPDP
767338 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Wall Drugs of Johnsonville, Inc.?
NPPES lists Derrick Wall (Owner Rph) as the authorized official for this organization.
What is the NPI number for Wall Drugs of Johnsonville, Inc.?
The NPI for Wall Drugs of Johnsonville, Inc. is 1245321363, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-12.