OrganizationActive
Southern Pharmacare LLC
NPI 1710441621 · Community/Retail Pharmacy · Baxley, GA
Southern Pharmacare LLC is a Community/Retail Pharmacy organization in Baxley, GA (NPI 1710441621).
Provider details
- NPI number
- 1710441621
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Travis Harrison, Owner(912) 294-1684
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
73 Sw Park Ave
Baxley, GA 31513
Phone: (912) 367-2488
Fax: (912) 367-7235
Street-level locationGet directions
Mailing address
711 Lambert Bennett Rd
Jesup, GA 31546
Other names (DBA / former)
- Doing business as
- Fulghum Drugs
- Doing business as
- Fulghum Drugs
Registry dates
- Enumerated
- 2019-01-24
- Last updated
- 2022-10-07
- Certified
- 2022-10-07
Frequently asked questions
- What is Southern Pharmacare LLC's NPI number?
- Southern Pharmacare LLC's National Provider Identifier (NPI) is 1710441621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Pharmacare LLC?
- Southern Pharmacare LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Southern Pharmacare LLC located?
- Southern Pharmacare LLC's practice location on file with NPPES is 73 Sw Park Ave, Baxley, GA 31513.
- What is Southern Pharmacare LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Pharmacare LLC is (912) 367-2488.
- Who is the authorized official for Southern Pharmacare LLC?
- The authorized official listed on Southern Pharmacare LLC's NPPES record is Travis Harrison, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Pharmacare LLC's NPI active?
- Yes — Southern Pharmacare LLC's NPI (1710441621) is active in the NPPES registry as of the last update on 2022-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.