Southland Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SOUTHLAND PHARMACY LLC

Practice address

482 Interstate Dr Ste K
Manchester, TN 37355-3486

Phone

(931) 563-0008

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Art Snow

Title

President

Phone

(931) 563-0008

Specialties & licenses 1

Addresses

Tax ID family

Southland 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.

• Southland Pharmacy LLC

  • Community/Retail Pharmacy
  • Manchester, TN
  • NPI 1093205346
  NPD tax ID

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1760144745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 COLCHESTER CT",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371283795",
            "telephone_number": "615-788-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 INTERSTATE DR STE K",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553486",
            "telephone_number": "931-563-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-563-0008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Soria, DMD
• Southern Family Markets LLC
• Southern Home Care Services, Inc.
• Southland LTC Pharmacy
• Southland Pharmacy LLC
• Nicole Sparkman, PMHNP
• Benjamin Charles Spaulding Jr., DDS
• Susan R St. John, CRNA
• Staffco of Eastern TN. Inc
• State of Tennessee

• Long Term Care Pharmacy in Manchester, TN
• Providers in Manchester, TN by specialty
• Long Term Care Pharmacy in Tennessee

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