P Praxis·MD
● Active Type 2 · Organization

Southeastern Pharmacy Llc

Pharmacy·Brunswick, GA· NPI 1811540867 · Enumerated 2019 · 6 years on NPI
Southeastern Pharmacy Llc is 1 of 961 pharmacy organizations in Georgia.
NPI age
6 years
Enumerated 2019-07-18
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lewis
Owner/pic
Last NPPES update
2019-07-18
Source: monthly bulk 2026-05

How this organization compares

Across 961 active pharmacy providers in Georgia.

NPI age
6 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
5711 Altama Ave Ste G
Brunswick, GA 315252200
📞 9122642622fax 9122641392
Mailing address
5711 Altama Ave Ste G
Brunswick, GA 315252200
📞 9122642622fax 9122641392

Authorized official

George Michael Lewis, PHARMD
Owner/pic
📞 9122642622

Specialties

  • Pharmacy Primary
    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...
    taxonomy 333600000X

Other names on file (1)

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

  • ALTAMA PHARMACY
    Type code 3 recorded 2019-07-18

Practice context

Single-site organization. Only one practice location on file.

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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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