Seaside Drugs Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHRE002675 Issued in GA

Legal business name

SEASIDE DRUGS INC

Doing business as

St. Simons Drug Co

Practice address

1627 Frederica Rd # 10
St Simons Island, GA 31522-2528

Phone

(912) 638-8676

NPI assigned

Feb 13, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas E. Bryan Jr., RPH

Title

Ceo

Phone

(912) 638-8676

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St. Simons Drug Co Doing business as

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1457493801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 FREDERICA RD # 10",
            "address_2": "P. O. BOX 2629",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222528",
            "telephone_number": "912-638-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 FREDERICA RD # 10",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222528",
            "telephone_number": "912-638-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-638-8676",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE002675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00787234A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1131983",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Simons Drug Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Lauren Sanders, D.C.
• Thomas John Sayer, D.D.S., P.C.
• Trent Arthur Schueneman, M.D.
• Sears Counseling, LLC
• Jennifer Sears, LAPC
• Seaworthy Anesthesia, LLC
• Seaworthy Health LLC
• Yasmin Roisin Seay, MD
• Katie M Seymour, MPT
• William F Shivers Jr., M.D.

• Pharmacist in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.