OrganizationActive
Southside Drug Inc
NPI 1093720641 · Community/Retail Pharmacy · South Fulton, TN
Southside Drug Inc is a Community/Retail Pharmacy organization in South Fulton, TN (NPI 1093720641).
Provider details
- NPI number
- 1093720641
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Philip Andrews, Owner(731) 479-2262
- License
- 1133 (TN)
Specialties & taxonomies
Suppliers
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
19 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
511 Broadway St
Southern Village S/C
South Fulton, TN 38257-2401
Phone: (731) 479-2262
Fax: (731) 479-3161
Street-level locationGet directions
Mailing address
Po Box 5197
South Fulton, TN 38257-0197
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southside Drug Inc's NPI number?
- Southside Drug Inc's National Provider Identifier (NPI) is 1093720641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Drug Inc?
- Southside Drug Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Southside Drug Inc located?
- Southside Drug Inc's practice location on file with NPPES is 511 Broadway St, South Fulton, TN 38257-2401.
- What is Southside Drug Inc's phone number?
- The practice phone number listed in the NPPES registry for Southside Drug Inc is (731) 479-2262.
- Who is the authorized official for Southside Drug Inc?
- The authorized official listed on Southside Drug Inc's NPPES record is Philip Andrews, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Drug Inc's NPI active?
- Yes — Southside Drug Inc's NPI (1093720641) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.