OLDE TIME PHARMACY AT SIXES, LLC
NPI 1831476316
Clinic/Center in Holly Springs, GA

Active since November 10, 2011
684 SIXES RD, SUITE 105, HOLLY SPRINGS, GA 30115(678) 445-4486(678) 445-3536 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Olde Time Pharmacy At Sixes, Llc NPPES

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

OLDE TIME PHARMACY AT SIXES, LLC (NPI 1831476316) is a healthcare organization registered as a clinic/center in Holly Springs, Georgia and active in the NPI registry since November 2011. The organization lists Shad Sutherland, Manager, as its authorized official.

NPPES Registry Identity

NPI1831476316
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOLDE TIME PHARMACY AT SIXES, LLC
Location Address684 SIXES RD, SUITE 105Holly Springs, GA 30115-8721
Mailing Address684 Sixes Rd, Suite 105Holly Springs, GA 30115-8721 · (678) 445-4486 · Fax (678) 445-3536
Fax(678) 445-3536
Organization SubpartNo
Authorized OfficialShad SutherlandManager · (678) 445-4486
Enumeration DateNovember 10, 2011
NPI 1831476316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in GA · PHRE009711
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

684 SIXES RD, Holly Springs, GA 30115

Other Providers at the Same Location NPPES 11

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

Surgery
684 SIXES RD, SUITE 225
HOLLY SPRINGS, GA 30115
Surgery
684 SIXES RD, SUITE 225
HOLLY SPRINGS, GA 30115
Pediatrics
684 SIXES RD, STE 220
HOLLY SPRINGS, GA 30115
Orthopaedic Surgery (Hand Surgery)
684 SIXES RD, SUITE 130
HOLLY SPRINGS, GA 30115
Surgery
684 SIXES RD, SUITE 225
HOLLY SPRINGS, GA 30115
Pediatrics
684 SIXES RD, STE 220
HOLLY SPRINGS, GA 30115
Clinical Medical Laboratory
684 SIXES RD, SUITE 275
HOLLY SPRINGS, GA 30115
Nurse Practitioner (Pediatrics)
684 SIXES RD
HOLLY SPRINGS, GA 30115

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 Olde Time Pharmacy At Sixes, LLC's NPI number?

The NPI number for Olde Time Pharmacy At Sixes, LLC is 1831476316. It was assigned to this organization in the NPPES registry on November 10, 2011.

Where is Olde Time Pharmacy At Sixes, LLC located?

Olde Time Pharmacy At Sixes, LLC is located at 684 Sixes Rd Suite 105, Holly Springs, GA 30115. The listed phone number is (678) 445-4486.

What is Olde Time Pharmacy At Sixes, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Olde Time Pharmacy At Sixes, LLC was last updated on November 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.