Southeastern Pharmacueticals

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009416 Issued in GA

Legal business name

SOUTHEASTERN PHARMACUETICALS

Doing business as

Corley Drugs #9

Practice address

229 Davis Road
Ste 900
Lagrange, GA 30241-2546

Phone

(706) 298-6870

Fax

(706) 298-6875

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Scott H Burton, RPH

Title

Owner

Phone

(706) 884-2517

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CORLEY DRUGS #9 Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Corley & McClendon, Inc

  dba Corley Drugs #3

  • Pharmacy
  • Lagrange, GA
  • NPI 1205855129

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1669654687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NEW AIRPORT RD",
            "address_2": "STE B",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302401410",
            "telephone_number": "706-885-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 DAVIS ROAD",
            "address_2": "STE 900",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412546",
            "telephone_number": "706-298-6870",
            "fax_number": "706-298-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN PHARMACUETICALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-884-2517",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97933748A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORLEY DRUGS #9",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shauntrell Smith, LMSW
• Shaynell Smith
• William Smith, NP
• Gary Ronald Solt, M.D.
• Veronica Soto, LPC
• Southern Cardiopulmonary Associates PC
• Southern Center for Orthopedics (Southern Orthopedics Sports Medicine)
• Southern Center for Womens Health PC (The Womens Center)
• Southern Crescent Anesthesiology, PC
• Southern Rehab and Sports Medicine, Inc.

• Community/Retail Pharmacy in Lagrange, GA
• Providers in Lagrange, 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 Nov 20, 2009; 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.