SOUTHERN FAMILY MARKETS LLC (NPI# 1972696334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972696334 |
| Entity Type | Organization |
| Organization Name | SOUTHERN FAMILY MARKETS LLC |
| Other Organization Name | SOUTHERN FAMILY MARKET |
| Practice Address |
1025 E Spring St Monroe GA 30655-2470 |
| Mailing Address |
Po Box 8500 Lockbox 8531 Philadelphia PA 19178-8531 |
| Practice Telephone | 7702674214 |
| Practice Fax Number | 7702079663 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2009-10-30 |
| Authorized Official Name | MARK TOW (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 2059124234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE008574 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1153989 | 01 | |
| AL | 000890491G | 05 |
| Other Name | Type Code |
|---|---|
| SOUTHERN FAMILY MARKET | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275768772 | Southern Family Markets LLC | Pharmacy | 306 S University Blvd, Mobile, AL 36609-2909 | 2009-05-28 |
| 1689810095 | Southern Family Markets LLC | Pharmacy | 1425 Rocky Creek Rd, Macon, GA 31206-3575 | 2009-01-07 |
| 1588757694 | Southern Family Markets LLC | Pharmacy | 4025 Lexington Rd, Athens, GA 30605-2527 | 2006-10-02 |
| 1033202130 | Southern Family Markets LLC | Pharmacy | 1603 Florence Blvd, Florence, AL 35630 | 2006-10-02 |
| 1396838405 | Southern Family Markets LLC | Pharmacy | 2312 Us Highway 45 N, Columbus, MS 39705 | 2006-10-02 |
| 1679666788 | Southern Family Markets LLC | Pharmacy | 625 Athens Town Center, Athens, AL 35611 | 2006-10-02 |
| 1467545574 | Southern Family Markets LLC | Pharmacy | 100 Suite H Hwy 231 431, Athens, AL 35611 | 2006-10-02 |
| 1427141894 | Southern Family Markets LLC | Pharmacy | 155 Bonanza Dr, Fayetteville, NC 28303-6313 | 2006-09-30 |
| 1609969070 | Southern Family Markets LLC | Pharmacy | 939 Alabama St, Columbus, MS 39702-5570 | 2006-09-30 |
| 1790878163 | Southern Family Markets LLC | Pharmacy | 2934 N Hills St, Meridian, MS 39305-2645 | 2006-09-30 |
| Street Address |
1025 E SPRING ST |
| City | MONROE |
| State | GA |
| Zip Code | 30655-2470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649899915 | Tammy Lynn Berry | Pharmacy | 5075 Stewart Rd, Monroe, MI 48162-9633 | 2020-04-15 |
| 1508381658 | Walgreen Co | Pharmacy | 7900 Desiard St, Monroe, LA 71203-4936 | 2017-08-10 |
| 1033592514 | Brookshire Grocery Company | Pharmacy | 1801 N 18th St, Monroe, LA 71201-4401 | 2015-07-02 |
| 1265835946 | Wal-mart Stores East Lp | Pharmacy | 4430 Desiard St, Monroe, LA 71203-4532 | 2014-10-08 |
| 1235532045 | Wal-mart Stores East, Lp | Pharmacy | 1840 Mckeen Pl, Monroe, LA 71201-4465 | 2014-10-07 |
| 1962661082 | Walgreen Co | Pharmacy | 717 8th Ave, Monroe, WI 53566-4000 | 2008-06-04 |
| 1083736383 | St George Pharmacy LLC | Pharmacy | 557 Englishtown Rd, Ste 14, Monroe, NJ 08831-3042 | 2007-04-06 |
| 1538268883 | Eckerd Corporation | Pharmacy | 2 Lakes Rd, Monroe, NY 10950-2616 | 2006-09-22 |
| 1013012863 | Connecticut Cvs Pharmacy, L.L.C. | Pharmacy | 511 Monroe Turnpike, Monroe, CT 06468-2386 | 2006-09-14 |
| 1447354386 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 2901 Sterlington Rd, Monroe, LA 71203-2513 | 2006-09-12 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.