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SOUTHERN PHARMACY SERVICES
NPI 1447500400
Pharmacy - Long Term Care Pharmacy in Wytheville, VA

Active since September 17, 2012CLIA Certified · 2 labs
860 STAFFORD UMBERGER DR, WYTHEVILLE, VA 24382(276) 228-5940(866) 928-3983 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Pharmacy Services NPPES

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

SOUTHERN PHARMACY SERVICES (NPI 1447500400) is a healthcare organization registered as a long term care pharmacy in Wytheville, Virginia and active in the NPI registry since September 2012. The organization holds 2 active CLIA laboratory certificates and lists Chad Terry, President, as its authorized official.

NPPES Registry Identity

NPI1447500400
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGUARDIAN PHARMACY OF VIRGINIA LLC
Location Address860 STAFFORD UMBERGER DRWytheville, VA 24382
Mailing AddressGuardian Pharmacy Of Virginia Dept 2428, P.o. Box 11407Birmingham, AL 35246-2428 · (404) 810-0089 · Fax (404) 810-0094
Phone(276) 228-5940
Fax(866) 928-3983
Organization SubpartNo
Authorized OfficialChad TerryPresident · (866) 768-8479
Enumeration DateSeptember 17, 2012
Last NPPES UpdateAugust 10, 2018
✔ NPI 1447500400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Licenses✔ Licensed in VA · 201003165✔ Licensed in WV · MO0559211✔ Licensed in NC · 11375✔ Licensed in TN · 3903
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
860 STAFFORD UMBERGER DR, Wytheville, VA 24382
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Other Names 1

Doing Business AsSouthern Pharmacy Services

Other Identifiers 3

Medicaid3810024876WV
Other4844266Ncpdp Provider Identification Number
Medicaid1447500400VA

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 ›

CLIA Laboratory Certificates CMS CLIA 2

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 49D2190556

Guardian Pharmacy Of Virginia · Wytheville, VA
Active · expires Aug 16, 2026
CLIA Number49D2190556
Laboratory TypePharmacy
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorRenae M. Cregger
Laboratory Phone(866) 768-8479
Laboratory LocationGuardian Pharmacy Of Virginia860 Stafford Umberger Dr, Wytheville, VA 24382
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2190655

Southern Pharmacy Services - Kernersville · Kernersville, NC
Active · expires Aug 17, 2026
CLIA Number34D2190655
Laboratory TypePharmacy
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorLindsay A. Domenico
Laboratory Phone(866) 768-8479
Laboratory LocationSouthern Pharmacy Services - Kernersville1031 E Mountain Street, Building 319, Kernersville, NC 27284
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

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.
355 services355 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
334 services334 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
21 services21 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
20 services20 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Southern Pharmacy Services carries, from the Medicare DMEPOS supplier directory.

Southern Pharmacy Services

DMEPOS supplier · Wytheville, VAOperated by Guardian Pharmacy Of Virginia, LLC
✔

Accepts Medicare assignment

Southern Pharmacy Services agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20517947
Medicare Participant SinceNovember 21, 2012
Supplier Location860 Stafford Umberger DrWytheville, VA 24382
Phone(276) 228-5940
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

RENAE CREGGER PHARMD
Pharmacist
860 STAFFORD UMBERGER DR
WYTHEVILLE, VA 24382
Wythe County (866) 768-8479
REBEKAH GRAVLEY LPN
Licensed Practical Nurse
860 STAFFORD UMBERGER DR
WYTHEVILLE, VA 24382
Wythe County (276) 455-9024
CARRIE TURNER RN
Registered Nurse
860 STAFFORD UMBERGER DR
WYTHEVILLE, VA 24382
Wythe County (866) 768-8479

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 Guardian Pharmacy Of Virginia LLC's NPI number?

The NPI number for Guardian Pharmacy Of Virginia LLC is 1447500400. It was assigned to this organization in the NPPES registry on September 17, 2012. The provider is doing business as Southern Pharmacy Services.

Where is Guardian Pharmacy Of Virginia LLC located?

Guardian Pharmacy Of Virginia LLC is located at 860 Stafford Umberger Dr, Wytheville, VA 24382. The listed phone number is (276) 228-5940.

What is Guardian Pharmacy Of Virginia LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Guardian Pharmacy Of Virginia LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Southern Pharmacy Services accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Guardian Pharmacy Of Virginia LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Guardian Pharmacy Of Virginia 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 46 other insurers list Guardian Pharmacy Of Virginia 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 Guardian Pharmacy Of Virginia LLC was last updated on August 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.