P Praxis·MD
● Active Type 2 · Organization

Southern Regional Medical Center - Prime Healthcare

Pharmacy·Riverdale, GA· NPI 1548923030 · Enumerated 2021 · 4 years on NPI
Southern Regional Medical Center - Prime Healthcare is 1 of 1965 pharmacy organizations in Georgia.
NPI age
4 years
Enumerated 2021-10-21
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rowan
Pharmacy Supervisor
Last NPPES update
2021-10-21
Source: monthly bulk 2026-05

How this organization compares

Across 1965 active pharmacy providers in Georgia.

NPI age
4 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2021 → 2026

2021-10Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
33 Upper Riverdale Rd Sw Ste 20
Riverdale, GA 302742626
📞 7709918066fax 7709918072
Mailing address
33 Upper Riverdale Rd Sw Ste 20
Riverdale, GA 302742626
📞 7709918066fax 7709918072

Authorized official

Sarah A Rowan, PHARMD
Pharmacy Supervisor
📞 7709918066

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Pharmacy Primary
    A 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...
    taxonomy 3336C0003X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Southern Regional Outpatient Pharmacy
    Type code 3 recorded 2021-09-29

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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