Southern Cancer Center, PC
NPI 1619215381ActiveOrganization· Pharmacy· Daphne, AL
Pharmacy in Daphne, Alabama, registered in NPPES in January 2013. The authorized official on file is Lauren Pettis, Executive Director. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1619215381 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2013 |
| Last updated in NPPES | Sep 29, 2025 |
| Certified by provider | Sep 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (AL) |
|---|
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