SOUTHEASTERN MEDICAL COMPOUNDING LLC
NPI 1467783209
Pharmacy - Compounding Pharmacy in Savannah, GA
NPI Status: Active since January 19, 2010
Contact Information
709 MALL BLVD RM 356B
SAVANNAH, GA
ZIP 31406
Phone: (912) 201-8138
Fax: (877) 329-0079
- Organization
- Pharmacy
- Compounding Pharmacy
About SOUTHEASTERN MEDICAL COMPOUNDING LLC
This page provides the complete NPI Profile along with additional information for Southeastern Medical Compounding Llc, a provider established in Savannah, Georgia operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1467783209 assigned on January 2010. The practitioner's primary taxonomy code is 3336C0004X with license number 114078 (AL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Southeastern Medical Compounding Llc. The authorized official of this NPI record is John Kennedy (Vice President)
- NPI
- 1467783209
- Provider Legal Name
- SOUTHEASTERN MEDICAL COMPOUNDING LLC
- Other Organization Name
- SOUTHEASTERN MEDICAL COMPOUNDING LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 709 MALL BLVD RM 356B SAVANNAH, GA 31406
- Location Phone
- (912) 201-8138
- Location Fax
- (877) 329-0079
- Mailing Address
- 7370 HODGSON MEMORIAL DR # C5-B SAVANNAH, GA 31406
- Mailing Phone
- (912) 401-3234
- Mailing Fax
- (877) 329-0079
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-19-2010
- Last Update Date
- 06-11-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Compounding Pharmacy
- Taxonomy Code
- 3336C0004X
- Type
- Suppliers
- License No.
- 114078
- License State
- AL
- Taxonomy Description
- A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3336C0003X | Suppliers | Pharmacy | Y006009 (AZ) |
| 2 | 3336C0004X | Suppliers | Pharmacy | PHRE009607 (GA) |
| 3 | 3336C0004X | Suppliers | Pharmacy | 2013005924 (MO) |
| 4 | 3336C0004X | Suppliers | Pharmacy | 5301009997 (MI) |
| 5 | 3336C0004X | Suppliers | Pharmacy | 264044 (MN) |
| 6 | 3336C0004X | Suppliers | Pharmacy | 27038 (TX) |
| 7 | 3336C0004X | Suppliers | Pharmacy | PH25026 (FL) |
| 8 | 3336C0004X | Suppliers | Pharmacy | 022297550 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2140641 | OTHER (01) | PK |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 7 | 8 | 3 | 2 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 14 | 8 | 6 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 4 + 8 + 6 + 2 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1467783209 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467783209, enumerated in the NPI registry as an "organization" on January 19, 2010
The provider is located at 709 Mall Blvd Rm 356b Savannah, Ga 31406 and the phone number is (912) 201-8138
This medical organization specializes in Pharmacy with taxonomy code 3336C0004X with a focus in Compounding Pharmacy
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 19, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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