OrganizationActive
Southeast Pharmacy LLC
NPI 1972977460 · Community/Retail Pharmacy · Meridian, MS
Southeast Pharmacy LLC is a Community/Retail Pharmacy organization in Meridian, MS (NPI 1972977460).
Provider details
- NPI number
- 1972977460
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Daniel Johnson, Owner(601) 938-5323
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2402 Long Creek Road
Meridian, MS 39301
Phone: (601) 483-5600
Street-level locationGet directions
Mailing address
6125 Zero Rd
Meridian, MS 39301-8655
Other names (DBA / former)
- Doing business as
- Southeast Pharmacy
Registry dates
- Enumerated
- 2015-11-20
- Last updated
- 2016-03-08
Frequently asked questions
- What is Southeast Pharmacy LLC's NPI number?
- Southeast Pharmacy LLC's National Provider Identifier (NPI) is 1972977460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Pharmacy LLC?
- Southeast Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Southeast Pharmacy LLC located?
- Southeast Pharmacy LLC's practice location on file with NPPES is 2402 Long Creek Road, Meridian, MS 39301.
- What is Southeast Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Pharmacy LLC is (601) 483-5600.
- Who is the authorized official for Southeast Pharmacy LLC?
- The authorized official listed on Southeast Pharmacy LLC's NPPES record is Daniel Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Pharmacy LLC's NPI active?
- Yes — Southeast Pharmacy LLC's NPI (1972977460) is active in the NPPES registry as of the last update on 2016-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.