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SOUTHWELL PHARMACY
NPI 1407911613
Pharmacy - Community/Retail Pharmacy in Tifton, GA

Active since December 27, 2006
1802 LEE AVENUE, TIFTON, GA 31794(229) 353-6756(229) 353-6531 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2025, Jan 25, 2023, Aug 22, 2020 (3 updates tracked since 2020).

About Southwell Pharmacy NPPES

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

SOUTHWELL PHARMACY (NPI 1407911613), doing business as Tift Regional Employee Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Tifton, Georgia and active in the NPI registry since December 2006. The organization lists Christopher Keith Dorman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407911613
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOUTHWELL PHARMACY
Location Address1802 LEE AVENUETifton, GA 31794
Mailing Address1802 Lee AvenueTifton, GA 31794 · (229) 353-6756 · Fax (229) 353-6531
Phone(229) 353-6756
Fax(229) 353-6531
Organization SubpartYesParent: Tift Regional Health System, Inc.
Authorized OfficialChristopher Keith DormanCeo · (229) 382-7120
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1407911613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.

1802 LEE AVENUE, Tifton, GA 31794
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Other Names 1

Doing Business AsTift Regional Employee Pharmacy

Other Identifiers 2

OtherPHRE010721GA · License
Other1117539Other Id Number-commercial Number

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 ›

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 Southwell Pharmacy's NPI number?

The NPI number for Southwell Pharmacy is 1407911613. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Tift Regional Employee Pharmacy.

Where is Southwell Pharmacy located?

Southwell Pharmacy is located at 1802 Lee Avenue, Tifton, GA 31794. The listed phone number is (229) 353-6756.

What is Southwell Pharmacy's specialty?

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

What insurance does Southwell Pharmacy 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 44 other insurers list Southwell Pharmacy 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 Southwell Pharmacy was last updated on August 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.