SOUTHEASTERN MEDICAL COMPOUNDING LLC
NPI 1467783209
Pharmacy - Compounding Pharmacy in Savannah, GA
NPI Status: Active since January 19, 2010
Contact Information
709 MALL BLVD RM 356B
SAVANNAH, GA
ZIP 31406
Phone: (912) 201-8138
Fax: (877) 329-0079
- Organization
- Pharmacy
- Compounding Pharmacy
About SOUTHEASTERN MEDICAL COMPOUNDING LLC
This page provides the complete NPI Profile along with additional information for Southeastern Medical Compounding Llc, a provider established in Savannah, Georgia operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1467783209 assigned on January 2010. The practitioner's primary taxonomy code is 3336C0004X with license number 114078 (AL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Southeastern Medical Compounding Llc. The authorized official of this NPI record is John Kennedy (Vice President)
- NPI
- 1467783209
- Provider Legal Name
- SOUTHEASTERN MEDICAL COMPOUNDING LLC
- Other Organization Name
- SOUTHEASTERN MEDICAL COMPOUNDING LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 709 MALL BLVD RM 356B SAVANNAH, GA 31406
- Location Phone
- (912) 201-8138
- Location Fax
- (877) 329-0079
- Mailing Address
- 7370 HODGSON MEMORIAL DR # C5-B SAVANNAH, GA 31406
- Mailing Phone
- (912) 401-3234
- Mailing Fax
- (877) 329-0079
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-19-2010
- Last Update Date
- 06-11-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Compounding Pharmacy
- Taxonomy Code
- 3336C0004X
- Type
- Suppliers
- License No.
- 114078
- License State
- AL
- Taxonomy Description
- A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3336C0003X | Suppliers | Pharmacy | Y006009 (AZ) |
| 2 | 3336C0004X | Suppliers | Pharmacy | PHRE009607 (GA) |
| 3 | 3336C0004X | Suppliers | Pharmacy | 2013005924 (MO) |
| 4 | 3336C0004X | Suppliers | Pharmacy | 5301009997 (MI) |
| 5 | 3336C0004X | Suppliers | Pharmacy | 264044 (MN) |
| 6 | 3336C0004X | Suppliers | Pharmacy | 27038 (TX) |
| 7 | 3336C0004X | Suppliers | Pharmacy | PH25026 (FL) |
| 8 | 3336C0004X | Suppliers | Pharmacy | 022297550 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2140641 | OTHER (01) | PK |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1467783209, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467783209, enumerated as an "organization" on January 19, 2010.
The provider is located at 709 MALL BLVD RM 356B SAVANNAH, GA 31406 and the phone number is (912) 201-8138.
Pharmacy with taxonomy code 3336C0004X and a focus in Compounding Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
