OrganizationActive
Broxton Pharmacy LLC
NPI 1801201447 · Community/Retail Pharmacy · Broxton, GA
Provider details
- NPI number
- 1801201447
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Freddie Pridgen, Owner(912) 359-2362
- License
- PHRE010064 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
402 Alabama St N
Broxton, GA 31519-6001
Phone: (912) 359-2362
Fax: (912) 359-3607
Street-level locationGet directions
Mailing address
402 Alabama St N
Broxton, GA 31519-6001
Other names (DBA / former)
- Doing business as
- Broxton Pharmacy,llc
Registry dates
- Enumerated
- 2014-06-23
- Last updated
- 2014-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.