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SOUTHSIDE DRUG INC
NPI 1093720641
Pharmacy - Community/Retail Pharmacy in South Fulton, TN

Active since July 30, 2006
511 BROADWAY ST, SOUTHERN VILLAGE S/C, SOUTH FULTON, TN 38257(731) 479-2262(731) 479-3161 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southside Drug Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE DRUG INC (NPI 1093720641) is a healthcare organization registered as a community/retail pharmacy in South Fulton, Tennessee and active in the NPI registry since July 2006. The organization lists Philip Andrews, Owner, as its authorized official.

NPPES Registry Identity

NPI1093720641
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOUTHSIDE DRUG INC
Location Address511 BROADWAY ST, SOUTHERN VILLAGE S/CSouth Fulton, TN 38257-2401
Mailing AddressPo Box 5197South Fulton, TN 38257-0197
Phone(731) 479-2262
Fax(731) 479-3161
Organization SubpartNo
Authorized OfficialPhilip AndrewsOwner · (731) 479-2262
Enumeration DateJuly 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093720641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TN · 1133
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

511 BROADWAY ST, South Fulton, TN 38257
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Other Identifiers 2

Other4400759Other Id Number-commercial Number
Medicaid4400759TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILIP ANDREWS
Pharmacist
511 BROADWAY ST
SOUTH FULTON, TN 38257
Obion County (731) 479-2262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Drug Inc's NPI number?

The NPI number for Southside Drug Inc is 1093720641. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Southside Drug Inc located?

Southside Drug Inc is located at 511 Broadway St Southern Village S/C, South Fulton, TN 38257. The listed phone number is (731) 479-2262.

What is Southside Drug Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Southside Drug Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.