Dennards Inc

Organization Active NPI Community/Retail Pharmacy · Soperton, GA

NPI 1841362084 · NPPES record last updated Jan 7, 2026

Key facts

NPI
1841362084
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PHRE005159 (GA)
Legal business name
DENNARDS INC
Practice address
794 Second St
Soperton, GA 30457-2400
Phone
(912) 529-4545
Fax
(912) 529-6161
NPI assigned
Nov 14, 2006
Organization subpart
No

Authorized official

Name
Richard J Dennard, PHARMD
Title
Pic
Phone
(912) 529-4545

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180906003117 GA Part B Supplier - Pharmacy 5890814693 Practice locations: Soperton, GA

National Provider Directory

Locations

794 Second St
Soperton, GA 30457
Phone (912) 529-4545

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHRE005159 GA
Community/Retail Pharmacy 3336C0003X PHRE005159 GA Yes

Addresses

Primary practice location

794 Second St
Soperton, GA 30457-2400

Mailing address

794 Second St
Soperton, GA 30457-2400
Phone (912) 529-4545

Other identifiers

IdentifierTypeStateIssuer
000025649BMedicaidGA

Other providers in Soperton, GA

All providers in Soperton, GA · Community/Retail Pharmacy in Georgia

Sources for this page

Verify at the official NPI Registry.