SOUTHERN SHORES PHARMACY, LLC
NPI 1518823640
Pharmacy in Richmond Hill, GA

Active since January 02, 2026CLIA 11D2334779 · Waiver
2658 US HIGHWAY 17, RICHMOND HILL, GA 31324(912) 356-9900 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1518823640
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTHERN SHORES PHARMACY, LLC
Location Address2658 US HIGHWAY 17Richmond Hill, GA 31324-3374
Mailing Address2658 Us Highway 17Richmond Hill, GA 31324-3374 · (912) 356-9900
Organization SubpartNo
Authorized OfficialKelly Lowerts DickPharmacist In Charge · (912) 356-9900
Enumeration DateJanuary 2, 2026
NPPES CertifiedJanuary 2, 2026
NPI 1518823640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

2658 US HIGHWAY 17, Richmond Hill, GA 31324

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, GA
Active · expires Dec 1, 2027
CLIA Number11D2334779
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorKristina Johnson
Laboratory Phone(912) 356-9900
Laboratory LocationSouthern Shores Family Care LLC2658 Highway 17 South, Richmond Hill, GA 31324
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2658 US HIGHWAY 17
RICHMOND HILL, GA 31324
Family Medicine
2658 US HIGHWAY 17
RICHMOND HILL, GA 31324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518823640, enumerated as an "organization" on January 02, 2026.

The provider is located at 2658 US HIGHWAY 17 RICHMOND HILL, GA 31324 and the phone number is (912) 356-9900.

Pharmacy with taxonomy code 333600000X.