NPI age
19 years
Enumerated 2006-07-05
● Active Type 2 · Organization
Guardian Pharmacy Of Southeast Ga Llc
Guardian Pharmacy Of Southeast Ga Llc is 1 of 321 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dinello
President
Last NPPES update
2016-10-12
Source: monthly bulk 2026-05
How this organization compares
Across 321 active pharmacy providers in Georgia.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
10929 Hwy 301 South, Ste 110 111
Statesboro, GA 30458
Mailing address
Guardian Pharmacy Of Southeast Georgia Dept 2378, P.o. Box 11407
Birmingham, AL 352460001
Authorized official
Jodi Dinello
President
📞 9127647839
Specialties
-
Pharmacy PrimaryA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2013153 | PK |
| 05 (GA) | 446858035A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
GUARDIAN PHARMACY OF SOUTH GEORGIA
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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