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SOUTHEASTERN MEDICAL COMPOUNDING LLC
NPI 1467783209
Pharmacy - Compounding Pharmacy in Savannah, GA

Active since January 19, 2010
709 MALL BLVD RM 356B, SAVANNAH, GA 31406(912) 201-8138(877) 329-0079 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southeastern Medical Compounding Llc NPPES

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

SOUTHEASTERN MEDICAL COMPOUNDING LLC (NPI 1467783209) is a healthcare organization registered as a compounding pharmacy in Savannah, Georgia and active in the NPI registry since January 2010. The organization lists John Kennedy, Vice President, as its authorized official.

NPPES Registry Identity

NPI1467783209
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameSOUTHEASTERN MEDICAL COMPOUNDING LLC
Location Address709 MALL BLVD RM 356BSavannah, GA 31406-4805
Mailing Address7370 Hodgson Memorial Dr # C5-bSavannah, GA 31406-2536 · (912) 401-3234 · Fax (877) 329-0079
Phone(912) 201-8138
Fax(877) 329-0079
Organization SubpartNo
Authorized OfficialJohn KennedyVice President · (912) 201-8138
Enumeration DateJanuary 19, 2010
Last NPPES UpdateJune 11, 2015
✔ NPI 1467783209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Licenses✔ Licensed in AL · 114078✔ Licensed in GA · PHRE009607✔ Licensed in MO · 2013005924✔ Licensed in MI · 5301009997✔ Licensed in MN · 264044✔ Licensed in TX · 27038✔ Licensed in FL · PH25026✔ Licensed in OH · 022297550
Definition

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.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License Y006009 (AZ)
709 MALL BLVD RM 356B, Savannah, GA 31406
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Other Names 1

Doing Business AsSoutheastern Medical Compounding Llc

Other Identifiers 1

Other2140641Pk

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 Medical Compounding LLC's NPI number?

The NPI number for Southeastern Medical Compounding LLC is 1467783209. It was assigned to this organization in the NPPES registry on January 19, 2010.

Where is Southeastern Medical Compounding LLC located?

Southeastern Medical Compounding LLC is located at 709 Mall Blvd Rm 356B, Savannah, GA 31406. The listed phone number is (912) 201-8138.

What is Southeastern Medical Compounding LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Southeastern Medical Compounding LLC was last updated on June 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.