What is Derrick Wall's NPI number?

Derrick Wall's National Provider Identifier (NPI) is 1124119342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Derrick Wall's specialty?

Derrick Wall is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Derrick Wall located?

Derrick Wall's practice location on file with NPPES is 239 Stuckey St, Johnsonville, SC 29555.

What is Derrick Wall's phone number?

The practice phone number listed in the NPPES registry for Derrick Wall is (843) 386-6135.

Is Derrick Wall's NPI active?

Yes — Derrick Wall's NPI (1124119342) is active in the NPPES registry as of the last update on 2016-09-21.

IndividualActive

Derrick Wall, RPH

NPI 1124119342 · Pharmacist · Johnsonville, SC

Derrick Wall, RPH is a Pharmacist provider in Johnsonville, SC (NPI 1124119342).

Provider details

NPI number: 1124119342
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: RPH
Sex: Male
Sole proprietor: No
License: 9429 (SC)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 9429 (SC)
Pharmacy Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

239 Stuckey St

Johnsonville, SC 29555

Phone: (843) 386-6135

Fax: (843) 380-1025

Street-level locationGet directions

More SC providers

Mailing address

Po Box 947