Silver Creek RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010266 Issued in GA

Legal business name

SILVER CREEK RX LLC

Doing business as

Silver Creek Pharmacy

Practice address

4450 Rockmart Rd SE
Silver Creek, GA 30173-2438

Phone

(706) 292-0106

Fax

(706) 292-0647

NPI assigned

Jan 22, 2007

Last updated

Jun 30, 2025By 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

Lisa Cornett Harris, RPHNPI 1588948558

Title

Owner

Phone

(706) 292-0106

Specialties & licenses 3

Addresses

Other names 1

• SILVER CREEK PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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.

• Lisa Cornett Harris, RPH

  • Pharmacist
  • Rome, GA
  • NPI 1588948558
  NPD Authorized official
• Elbert William Fricks, PHARMACIST

  • Pharmacist
  • Silver Creek, GA
  • NPI 1194853366
  NPD (past)
• Ann Childers Moss

  • Pharmacist
  • Silver Creek, GA
  • NPI 1164024840
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1780738245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "city": "SILVER CREEK",
            "state": "GA",
            "postal_code": "301732438",
            "telephone_number": "706-292-0106",
            "fax_number": "706-292-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 ROCKMART RD SE",
            "city": "SILVER CREEK",
            "state": "GA",
            "postal_code": "301732438",
            "telephone_number": "706-292-0106",
            "fax_number": "706-292-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CORNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-292-0106",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010266",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILVER CREEK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Childers Moss
• Reynolds Mobile Phlebotomy
• Laci Reynolds
• Devyn Haas Shiflett, FNP-C
• Lynn King Shirley, LPC

• Community/Retail Pharmacy in Silver Creek, GA
• Providers in Silver Creek, 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 Jun 30, 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.