NPI age
15 years
Enumerated 2010-11-12
● Active Type 2 · Organization
Olde Time Pharmacy At Sixes Llc
Olde Time Pharmacy At Sixes Llc 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
Sutherland
Owner
Last NPPES update
2010-12-01
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 65% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-11Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
684 Sixes Rd Ste 105
Holly Springs, GA 301158720
Mailing address
684 Sixes Rd, Suite 105
Holly Springs, GA 301158721
Authorized official
Shad Sutherland
Owner
📞 7707830483
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Daniel McMahon, M.D. Family Medicine NPI 1386089720
- Kendall Williams Nurse Practitioner NPI 1720846652
- Monika Yadav, M.D. Internal Medicine NPI 1750474987
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 |
|---|---|---|
| 01 | 1160643 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Olde Time Pharmacy at Sixes, LLC
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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.