Southern Drug Company, Inc
NPI 1831602077ActiveOrganization· Pharmacy· Blue Ridge, GA
Pharmacy in Blue Ridge, Georgia, registered in NPPES in November 2017. The authorized official on file is Christina Suzanne Davenport, PHARM.D., Pharmacist/President. Medicare paid $55,570 for services to 247 patients in 2024.
Overview
| NPI | 1831602077 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2017 |
| Last updated in NPPES | Feb 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHRE010405 | GA |
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 (GA); Part B Supplier - Mass Immunization (Roster Biller Only) (GA); Part B Supplier - Pharmacy (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 247 |
|---|---|
| Services billed | 757 across 11 procedure codes |
| Paid by Medicare | $55,570 |
Other Pharmacy providers in Blue Ridge
- 1609949924
- 1255434080
- 1710956537