SOUTHERN SHORES PHARMACY, LLC
NPI 1518823640
Pharmacy in Richmond Hill, GA
About Southern Shores Pharmacy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN SHORES PHARMACY, LLC (NPI 1518823640) is a healthcare organization registered as a pharmacy in Richmond Hill, Georgia and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Kelly Lowerts Dick, Pharmacist In Charge, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
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 11D2334779
Southern Shores Family Care LLC · Richmond Hill, GAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Southern Shores Pharmacy, LLC's NPI number?
The NPI number for Southern Shores Pharmacy, LLC is 1518823640. It was assigned to this organization in the NPPES registry on January 2, 2026.
Where is Southern Shores Pharmacy, LLC located?
Southern Shores Pharmacy, LLC is located at 2658 Us Highway 17, Richmond Hill, GA 31324. The listed phone number is (912) 356-9900.
What is Southern Shores Pharmacy, LLC's specialty?
The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.
Does Southern Shores Pharmacy, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2334779) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southern Shores Pharmacy, LLC was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Southern Shores Pharmacy, Llc · NPI 1518823640
Pharmacy organization in Richmond Hill, Georgia. Organization record, active in the CMS NPPES registry since January 2, 2026.
## Identity
- **NPI:** 1518823640 (Entity type: Organization)
- **Enumerated:** January 2, 2026
- **Primary specialty:** Pharmacy · taxonomy 333600000X
- **Organization subpart:** No
- **Authorized official:** Kelly Dick, PHARMACIST IN CHARGE
## Practice location
- **Address:** 2658 US HIGHWAY 17, Richmond Hill, GA 31324-3374
- **Phone:** (912) 356-9900
## Record status
- **NPPES last updated:** January 2, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1518823640) · Data from the CMS NPPES public registry.