| NPI | 1346596574 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2012-07-25 |
| Last Updated | 2024-03-08 |
| Authorized Official | Joel Wright President of Pharmacy Services Phone: 8062427782 |
| Mailing Address | 320 S Polk St Ste 200 Amarillo, TX 79101-1436 United States Phone: (806) 242-7782 | Fax: (404) 348-0453 📍 View Map |
| Primary Practice Address | 600 Celebrate Life Pkwy Ste A176a Newnan, GA 30265-8001 United States Phone: (770) 400-6392 | Fax: (404) 348-0453 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 003195531A | - |
| Other (non-Medicare) | - | 1162661 | NCPDP Provider Identification Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
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About NPI 1346596574
Southeastern Regional Medical Center, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1346596574. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Newnan, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-07-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1346596574?
NPI 1346596574 belongs to Southeastern Regional Medical Center, Inc., a Pharmacy, Community/Retail Pharmacy in Newnan, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1346596574 active?
The current status of NPI 1346596574 in the NPPES registry is Active. The record was last updated on 2024-03-08.
What specialty is NPI 1346596574?
NPI 1346596574 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1346596574?
You can verify NPI 1346596574 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1346596574?
The primary practice address on file for NPI 1346596574 is 600 Celebrate Life Pkwy Ste A176a, Newnan, GA 30265-8001. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1346596574 issued?
NPI 1346596574 was first issued (enumerated) on 2012-07-25. The NPPES record was last updated on 2024-03-08.
Practice Location Map
Southeastern Regional Medical Center, Inc. is located at 600 Celebrate Life Pkwy Ste A176a, Newnan, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Southeastern Regional Medical Center, Inc.. All records sourced from the CMS NPPES registry.