SOUTHSIDE PHARMACY
NPI 1548544752
Pharmacy - Community/Retail Pharmacy in Tanner, AL

Active since October 06, 2011CLIA 01D2271240 · Waiver
11964 ESCUE DR STE A, TANNER, AL 35671(256) 232-6588(256) 232-6589 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2016, Jan 15, 2016, Dec 24, 2015 and 2 more (5 updates tracked since 2015).

About Southside Pharmacy NPPES

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

SOUTHSIDE PHARMACY (NPI 1548544752) is a healthcare organization registered as a community/retail pharmacy in Tanner, Alabama and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Tammy Garrett, Pharmacist/president, as its authorized official.

NPPES Registry Identity

NPI1548544752
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOUTHSIDE PHARMACY INC
Location Address11964 ESCUE DR STE ATanner, AL 35671-3680
Mailing Address11964 Escue Dr, Suite ATanner, AL 35671-3679 · (256) 232-6588 · Fax (256) 232-6589
Fax(256) 232-6589
Organization SubpartNo
Authorized OfficialTammy GarrettPharmacist/president · (256) 232-6588
Enumeration DateOctober 6, 2011
Last NPPES UpdateJanuary 27, 20165 updates tracked since enumeration
NPI 1548544752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in AL · 113810
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
11964 ESCUE DR STE A, Tanner, AL 35671

Other Names 1

Doing Business AsSouthside Pharmacy

Other Identifiers 2

Other2132353Pk
Medicaid134219AL

Accepted Insurance

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 01D2271240

Southside Pharmacy, Inc · Tanner, AL
Active · expires Oct 30, 2026
CLIA Number01D2271240
Laboratory TypePharmacy
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorDr. Scott J. Garrett
Laboratory Phone(256) 232-6588
Laboratory LocationSouthside Pharmacy, Inc11964 Escue Drive Suite A, Tanner, AL 35671
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 15

Medicare supplier enrollment and the product categories Southside Pharmacy, Inc. carries, from the Medicare DMEPOS supplier directory.

Southside Pharmacy, Inc.

DMEPOS supplier · Tanner, AL

Does not accept Medicare assignment

Southside Pharmacy, Inc. has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)21610311
Medicare Participant SinceMay 29, 2015
Supplier Location11964 Escue Dr Ste ATanner, AL 35671
Supplier Specialties
Orthotic Personnel Pharmacy

Medicare Product Categories

Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
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
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
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.

Pharmacist
11964 ESCUE DR STE A
TANNER, AL 35671
Pharmacist
11964 ESCUE DR STE A
TANNER, AL 35671
Pharmacist
11964 ESCUE DR STE A
TANNER, AL 35671

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 Southside Pharmacy Inc's NPI number?

The NPI number for Southside Pharmacy Inc is 1548544752. It was assigned to this organization in the NPPES registry on October 6, 2011. The provider is doing business as Southside Pharmacy.

Where is Southside Pharmacy Inc located?

Southside Pharmacy Inc is located at 11964 Escue Dr Ste A, Tanner, AL 35671. The listed phone number is (256) 232-6588.

What is Southside Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Southside Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Southside Pharmacy, Inc. does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Southside Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2271240) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southside Pharmacy Inc 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 48 other insurers list Southside Pharmacy Inc 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 Southside Pharmacy Inc was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.