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ALTAMA PHARMACY
NPI 1336165547
Pharmacy - Community/Retail Pharmacy in Brunswick, GA

Active since July 14, 2006
5711 ALTAMA AVE, UNIT G, BRUNSWICK, GA 31525(912) 264-2622(912) 264-1392 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Altama Pharmacy NPPES

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

ALTAMA PHARMACY (NPI 1336165547) is a healthcare organization registered as a community/retail pharmacy in Brunswick, Georgia and active in the NPI registry since July 2006. The organization lists George Michael Lewis, Owner, as its authorized official.

NPPES Registry Identity

NPI1336165547
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOUTHEASTERN PHARMACY LLC
Location Address5711 ALTAMA AVE, UNIT GBrunswick, GA 31525-2240
Mailing Address5711 Altama Ave, Suite GBrunswick, GA 31525-2240 · (912) 264-2622 · Fax (912) 264-1392
Phone(912) 264-2622
Fax(912) 264-1392
Organization SubpartNo
Authorized OfficialGeorge Michael LewisOwner · (912) 264-2622
Enumeration DateJuly 14, 2006
Last NPPES UpdateFebruary 17, 2020
✔ NPI 1336165547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · 002733
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.
5711 ALTAMA AVE, Brunswick, GA 31525
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Other Names 1

Doing Business AsAltama Pharmacy

Other Identifiers 3

Medicaid000028256AGA
Other1106930GA · Nabp
Medicaid1106930GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
80 services80 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services32 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
27 services27 patients

Other Providers at the Same Location NPPES 3

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

MRS. ELIZABETH JETER THOMPSON R. PH.
Pharmacist
5711 ALTAMA AVE, UNIT J
BRUNSWICK, GA 31525
Glynn County (912) 264-2622
DR. GARY BRANDON BAILEY JR. PHARM D
Pharmacist
5711 ALTAMA AVE, SUITE J
BRUNSWICK, GA 31525
Glynn County (912) 264-2622
LON WALLDA LEWIS RPH
Pharmacist
5711 ALTAMA AVE, SUITE J
BRUNSWICK, GA 31525
Glynn County (912) 264-2622

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 Southeastern Pharmacy LLC's NPI number?

The NPI number for Southeastern Pharmacy LLC is 1336165547. It was assigned to this organization in the NPPES registry on July 14, 2006. The provider is doing business as Altama Pharmacy.

Where is Southeastern Pharmacy LLC located?

Southeastern Pharmacy LLC is located at 5711 Altama Ave Unit G, Brunswick, GA 31525. The listed phone number is (912) 264-2622.

What is Southeastern Pharmacy LLC's specialty?

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

What insurance does Southeastern Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Southeastern Pharmacy LLC 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 Southeastern Pharmacy LLC was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.