SOUTHERN DRUG COMPANY, INC
NPI 1831602077
Pharmacy in Blue Ridge, GA

Active since November 09, 2017CLIA 11D2183283 · Waiver
4075 E FIRST ST, BLUE RIDGE, GA 30513(706) 455-2288 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 20, 2018, Nov 9, 2017 (2 updates tracked since 2017).

About Southern Drug Company, Inc NPPES

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

SOUTHERN DRUG COMPANY, INC (NPI 1831602077) is a healthcare organization registered as a pharmacy in Blue Ridge, Georgia and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Christina Suzanne Davenport, Pharmacist/president, as its authorized official.

NPPES Registry Identity

NPI1831602077
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTHERN DRUG COMPANY, INC
Location Address4075 E FIRST STBlue Ridge, GA 30513-4526
Mailing Address4075 E First StBlue Ridge, GA 30513-4526 · (706) 455-2288
Organization SubpartNo
Authorized OfficialChristina Suzanne DavenportPharmacist/president · (706) 455-2288
Enumeration DateNovember 9, 2017
Last NPPES UpdateFebruary 20, 20182 updates tracked since enumeration
NPI 1831602077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in GA · PHRE010405
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.

4075 E FIRST ST, Blue Ridge, GA 30513

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 11D2183283

Southern Drug Company, Inc · Blue Ridge, GA
Active · expires May 3, 2028
CLIA Number11D2183283
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorDavenport S. Christina
Laboratory Phone(706) 632-4448
Laboratory LocationSouthern Drug Company, Inc4075 East First Street, Blue Ridge, GA 30513
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
210 services210 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
181 services181 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Southern Drug Company carries, from the Medicare DMEPOS supplier directory.

Southern Drug Company

DMEPOS supplier · Blue Ridge, GAOperated by Southern Drug Company, Inc

Does not accept Medicare assignment

Southern Drug Company 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)20456657
Medicare Participant SinceJanuary 11, 2018
Supplier Location4075 E First StBlue Ridge, GA 30513
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.

Other Providers at the Same Location NPPES

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

Pharmacist
4075 E FIRST ST
BLUE RIDGE, GA 30513

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 Drug Company, Inc's NPI number?

The NPI number for Southern Drug Company, Inc is 1831602077. It was assigned to this organization in the NPPES registry on November 9, 2017.

Where is Southern Drug Company, Inc located?

Southern Drug Company, Inc is located at 4075 E First St, Blue Ridge, GA 30513. The listed phone number is (706) 455-2288.

What is Southern Drug Company, Inc's specialty?

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

Does Southern Drug Company, Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Southern Drug Company 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 Southern Drug Company, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2183283) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Drug Company, 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 Southern Drug Company, 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 Southern Drug Company, Inc was last updated on February 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.