Organization Active NPI

Florence Pharmacy LLC

Doing business as Preferred Pharmacy

  • Community/Retail Pharmacy
  • Pooler, GA
National Provider Identifier
1669192761
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FLORENCE PHARMACY LLC
Doing business as
Preferred Pharmacy
Practice address
1017 US Highway 80 E Ste 10
Pooler, GA 31322-9533
Phone
(912) 348-1811
Fax
(912) 988-3097
NPI assigned
Aug 30, 2022
Last updated
Dec 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Authorized official

Name
Jeremy Michael Simmons, PHARMDNPI 1134497860
Title
Owner
Phone
(843) 729-5583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1017 US Highway 80 E Ste 10
Pooler, GA 31322-9533

Mailing address

1017 US Highway 80 E Ste E
Pooler, GA 31322-9532
Phone (912) 348-1811

Other names 1

  • Preferred Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230418001732 GA Part B Supplier - Pharmacy 7517374416 Practice locations: Pooler, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Florence Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1017 US Highway 80 E
Ste E
Pooler, GA 31322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765065600000",
    "number": "1669192761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 US HIGHWAY 80 E STE E",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229532",
            "telephone_number": "912-348-1811",
            "fax_number": "912-988-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 US HIGHWAY 80 E STE 10",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229533",
            "telephone_number": "912-348-1811",
            "fax_number": "912-988-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-729-5583",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preferred Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.