NPI age
16 years
Enumerated 2010-01-19
● Active Type 2 · Organization
Southeastern Medical Compounding Llc
Southeastern Medical Compounding Llc is 1 of 28 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
Kennedy
Vice President
Last NPPES update
2015-06-11
Source: monthly bulk 2026-05
How this organization compares
Across 28 active pharmacy providers in Georgia.
NPI age
16 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 39% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-01Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
709 Mall Blvd Rm 356b
Savannah, GA 314064805
Mailing address
7370 Hodgson Memorial Dr # C5-B
Savannah, GA 314062536
Authorized official
John Kennedy
Vice President
📞 9122018138
Specialties
-
Pharmacy PrimaryA pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2140641 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southeastern Medical Compounding LLC
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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.