SOUTHSIDE PHARMACY
NPI 1124112412
Pharmacy - Community/Retail Pharmacy in Spring Hope, NC

Q: What is Swofford Inc's NPI number?

The NPI number for Swofford Inc is 1124112412. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Southside Pharmacy.

Q: What is Swofford Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Swofford Inc was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 03, 2006

98 DODD ST, SPRING HOPE, NC 27882(252) 478-5969(252) 478-2978 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2020, Feb 28, 2017, Jan 28, 2016 (3 updates tracked since 2016).

On this page

About Southside Pharmacy NPPES

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

SOUTHSIDE PHARMACY (NPI 1124112412) is a healthcare organization registered as a community/retail pharmacy in Spring Hope, North Carolina and active in the NPI registry since October 2006. The organization lists Mark Cloniger, Pharmacist Manager, as its authorized official.

NPPES Registry Identity

NPI1124112412

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSWOFFORD INC

Location Address98 DODD STSpring Hope, NC 27882-9581

Mailing AddressPo Box 189Spring Hope, NC 27882-0189 · (252) 478-5969 · Fax (252) 478-2978

Phone(252) 478-5969

Fax(252) 478-2978

Organization SubpartNo

Authorized OfficialMark ClonigerPharmacist Manager · (252) 478-5969

Enumeration DateOctober 3, 2006

Last NPPES UpdateAugust 28, 20203 updates tracked since enumeration

NPPES CertifiedAugust 28, 2020

✔ NPI 1124112412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NC · 07891

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.

Also ListedPharmacyTaxonomy 333600000X

98 DODD ST, Spring Hope, NC 27882

Open in Google Maps ↗

Other Names 1

Doing Business AsSouthside Pharmacy

Other Identifiers 3

Medicaid0645440NC

Other2067390Pk

Medicaid7703795NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Medica, Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2266351

Bryonallen Pharmacy LLC Dba Southside Pharmacy · Spring Hope, NC

Expired · Aug 8, 2026

CLIA Number34D2266351

Laboratory TypePharmacy

Certificate Effective DateAugust 9, 2024

Certificate Expiration DateAugust 8, 2026

Laboratory DirectorBryon M. Cloninger

Laboratory Phone(252) 478-5969

Laboratory LocationBryonallen Pharmacy LLC Dba Southside Pharmacy98 Dodd St, Spring Hope, NC 27882

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BRYONALLEN PHARMACY LLC

Pharmacy (Community/Retail Pharmacy)

98 DODD ST
SPRING HOPE, NC 27882

Nash County (252) 478-5969

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 Swofford Inc's NPI number?

The NPI number for Swofford Inc is 1124112412. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Southside Pharmacy.

Where is Swofford Inc located?

Swofford Inc is located at 98 Dodd St, Spring Hope, NC 27882. The listed phone number is (252) 478-5969.

What is Swofford Inc's specialty?

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

What insurance does Swofford Inc accept?

Health plans from Blue Cross and Blue Shield of NC, Medica and Moda Health Plan, Inc. list Swofford Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Swofford Inc was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.