NPI age
20 years
Enumerated 2006-05-06
● Active Type 2 · Organization
Southern Crescent Pharmacy Inc
Southern Crescent Pharmacy Inc is 1 of 1965 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
Bonner
President
Last NPPES update
2011-03-16
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 65% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
405 Carlton Rd
Palmetto, GA 302681052
Mailing address
Po Box 1549
Palmetto, GA 302687549
Authorized official
Carla Bonner
President
📞 7704634031
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Carla Bonner, PHARM.D. Pharmacist NPI 1922062124
- Jolyn Garcia, PHARMD Pharmacist NPI 1073577342
- Jason Jones, PHARMD Pharmacist NPI 1225474950
Specialties
-
Pharmacy PrimaryA 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...
-
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 |
|---|---|---|
| 05 (GA) | 00247277A | |
| 01 | 1126906 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
LAMBERT PHARMACY
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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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.