Southside Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE007221 Issued in GA

Legal business name

SOUTHSIDE DRUGS INC

Doing business as

SOUTHSIDE DISCOUNT DRUGS

Practice address

200 W Andrews St
Milledgeville, GA 31061-3839

Phone

(478) 453-7227

Fax

(478) 452-9789

NPI assigned

Nov 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ben BraddyNPI 1285787408

Title

VP

Phone

(478) 453-7227

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SOUTHSIDE DISCOUNT DRUGS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ben Braddy

  • Pharmacist
  • Milledgeville, GA
  • NPI 1285787408
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1184795577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ANDREWS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613839",
            "telephone_number": "478-453-7227",
            "fax_number": "478-452-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ANDREWS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613839",
            "telephone_number": "478-453-7227",
            "fax_number": "478-452-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "BRADDY",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "478-453-7227"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2017479",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00439227A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHSIDE DISCOUNT DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nusheco S Sneid-Arnold, LPC
• Mohit Sobti, OT
• Sokar Kendor MD PC
• Southern Hospitality at Home, Inc.
• Southern Orthopaedics
• Santeva Sheane Speights
• Shari Speights
• Laynie Brown Spivey
• SQC Transport & Logistics LLC
• Carl Dennis Stark, LCSW

• Community/Retail Pharmacy in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.