OrganizationActive
Southern Pharmacare LLC
NPI 1902483712 · Community/Retail Pharmacy · Baxley, GA
Southern Pharmacare LLC is a Community/Retail Pharmacy organization in Baxley, GA (NPI 1902483712).
Provider details
- NPI number
- 1902483712
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Travis Harrison, Owner(912) 705-7790
Specialties & taxonomies
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
755 S Main St
Baxley, GA 31513-0130
Phone: (912) 294-1684
Street-level locationGet directions
Mailing address
711 Lambert Bennett Rd
Jesup, GA 31546-1550
Registry dates
- Enumerated
- 2021-03-26
- Last updated
- 2021-07-12
- Certified
- 2021-07-12
Frequently asked questions
- What is Southern Pharmacare LLC's NPI number?
- Southern Pharmacare LLC's National Provider Identifier (NPI) is 1902483712, 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 755 S Main St, Baxley, GA 31513-0130.
- What is Southern Pharmacare LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Pharmacare LLC is (912) 294-1684.
- 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 (1902483712) is active in the NPPES registry as of the last update on 2021-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.