OrganizationActive
Southeast Foods, Inc.
NPI 1154459816 · Community/Retail Pharmacy · Pearl, MS
Southeast Foods, Inc. is a Community/Retail Pharmacy organization in Pearl, MS (NPI 1154459816).
Provider details
- NPI number
- 1154459816
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Charles Dedmon, Cfo(318) 388-1884
- License
- 03618012 (MS)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 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
3111 Highway 80 E
Pearl, MS 39208-3503
Phone: (601) 932-5337
Fax: (601) 932-7952
Street-level locationGet directions
Mailing address
3111 Highway 80 E
Pearl, MS 39208-3503
Other names (DBA / former)
- Doing business as
- County Market Pharmacy
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2010-03-02
Frequently asked questions
- What is Southeast Foods, Inc.'s NPI number?
- Southeast Foods, Inc.'s National Provider Identifier (NPI) is 1154459816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Foods, Inc.?
- Southeast Foods, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Southeast Foods, Inc. located?
- Southeast Foods, Inc.'s practice location on file with NPPES is 3111 Highway 80 E, Pearl, MS 39208-3503.
- What is Southeast Foods, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Southeast Foods, Inc. is (601) 932-5337.
- Who is the authorized official for Southeast Foods, Inc.?
- The authorized official listed on Southeast Foods, Inc.'s NPPES record is Charles Dedmon, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Foods, Inc.'s NPI active?
- Yes — Southeast Foods, Inc.'s NPI (1154459816) is active in the NPPES registry as of the last update on 2010-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.