Sims Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHRE009780 Issued in GA

Legal business name

SIMS PHARMACY INC

Doing business as

Southeastern Long Term Care Pharmacy

Practice address

301 W College St Ste B
Bowdon, GA 30108-1309

Phone

(770) 258-3366

Fax

(770) 258-9840

NPI assigned

Aug 8, 2011

Last updated

Apr 19, 2021By 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

Kenny Akins

Title

VP Sec

Phone

(770) 258-3366

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Southeastern Long Term Care Pharmacy Doing business as

Electronic endpoints 1

Tax ID family

Bowdon Valu-Rite Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sims Pharmacy Inc

  dba Bowdon Valu-Rite Pharmacy

  • Community/Retail Pharmacy
  • Bowdon, GA
  • NPI 1164455341
  NPD tax ID
• Sims Pharmacy Inc

  dba Corley Drugs #7

  • Community/Retail Pharmacy
  • Carrollton, GA
  • NPI 1336172527
  NPD tax ID

Locations

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1689953689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W COLLEGE ST STE B",
            "city": "BOWDON",
            "state": "GA",
            "postal_code": "301081309",
            "telephone_number": "770-258-3366",
            "fax_number": "770-258-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W COLLEGE ST STE B",
            "city": "BOWDON",
            "state": "GA",
            "postal_code": "301081309",
            "telephone_number": "770-258-3366",
            "fax_number": "770-258-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "AKINS",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP SEC",
        "authorized_official_telephone_number": "770-258-3366"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE009780",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134597",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KAKINS@SIMSRX.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 W College St Ste B",
            "city": "Bowdon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301081309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southeastern Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeastern Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Open Horizons Healthcare LLC
• Mike W. Ou, M.D.
• Deborah L. Prementine, LPTA
• Robert Chris Salter, CNP
• Sims Pharmacy Inc (Bowdon Valu-Rite Pharmacy)
• Southeast Senior Care Mangment Group (memory lane)
• Anna Beam Strain, NP-C
• The Medical Clinics of Georgia, LLC
• TMC West Carroll Family Healthcare Center Inc (West Carroll Family Healthcare)
• Walgreen Co (Walgreens #19230)

• Long Term Care Pharmacy in Bowdon, GA
• Providers in Bowdon, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.