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SOUTHEASTERN PHARMACY LLC
NPI 1811540867
Pharmacy in Brunswick, GA

Active since July 18, 2019
5711 ALTAMA AVE STE G, BRUNSWICK, GA 31525(912) 264-2622(912) 264-1392 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southeastern Pharmacy Llc NPPES

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

SOUTHEASTERN PHARMACY LLC (NPI 1811540867), doing business as Altama Pharmacy, is a healthcare organization registered as a pharmacy in Brunswick, Georgia and active in the NPI registry since July 2019. The organization lists George Michael Lewis, Owner/pic, as its authorized official.

NPPES Registry Identity

NPI1811540867
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTHEASTERN PHARMACY LLC
Location Address5711 ALTAMA AVE STE GBrunswick, GA 31525-2200
Mailing Address5711 Altama Ave Ste GBrunswick, GA 31525-2200 · (912) 264-2622 · Fax (912) 264-1392
Phone(912) 264-2622
Fax(912) 264-1392
Organization SubpartNo
Authorized OfficialGeorge Michael LewisOwner/pic · (912) 264-2622
Enumeration DateJuly 18, 2019
✔ NPI 1811540867 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.
5711 ALTAMA AVE STE G, Brunswick, GA 31525
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Other Names 1

Doing Business AsAltama Pharmacy

Medical Equipment Supplier Medicare DMEPOS 4

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

Altama Pharmacy

DMEPOS supplier · Brunswick, GAOperated by Southeastern Pharmacy LLC
✔

Accepts Medicare assignment

Altama Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20413943
Medicare Participant SinceMay 20, 2020
Supplier Location5711 Altama Ave Ste GBrunswick, GA 31525
Phone(912) 264-2622
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Pharmacy LLC's NPI number?

The NPI number for Southeastern Pharmacy LLC is 1811540867. It was assigned to this organization in the NPPES registry on July 18, 2019. The provider is doing business as Altama Pharmacy.

Where is Southeastern Pharmacy LLC located?

Southeastern Pharmacy LLC is located at 5711 Altama Ave Ste G, Brunswick, GA 31525. The listed phone number is (912) 264-2622.

What is Southeastern Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Southeastern Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Altama Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Southeastern Pharmacy LLC was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.