Southeast Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8383 Issued in NC

Legal business name

SOUTHEAST FAMILY PHARMACY INC

Practice address

223 NC Highway 111 S
Goldsboro, NC 27534-9253

Phone

(919) 778-1110

Fax

(919) 778-1038

NPI assigned

Mar 1, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer SuttonNPI 1154600252

Title

Owner/Pharmacist

Phone

(919) 222-0842

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• D & J Drugs Inc

  dba Marmac Pharmacy

  • Pharmacy
  • Goldsboro, NC
  • NPI 1316230287

  O20111018000279

  Same enrollment

Practitioners 1

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.

• Jennifer Alphin Sutton

  • Pharmacist
  • Goldsboro, NC
  • NPI 1154600252
  Authorized official Same address or phone

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1922075662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 NC HIGHWAY 111 S",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349253",
            "telephone_number": "919-778-1110",
            "fax_number": "919-778-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 NC HIGHWAY 111 S",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349253",
            "telephone_number": "919-778-1110",
            "fax_number": "919-778-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "919-222-0842"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "8383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0965682",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703956",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069949",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary A Solomon, MPT
• Craig Alan Soltis, M. D.
• Nahia Zhaimara Soto, LCSW
• Soundside Orthotics & Prosthetics, LLC (Evergreen Prosthetics and Orthotics)
• Southeast Family Pharmacy Inc
• Southeastern Medical Oncology Center
• Southern Discount Drug, Inc. (Family Discount Drug)
• Southern Family Markets LLC (Southern Family Market)
• Megan Amber Spangler, LCSWA
• Shannon Ivy Speece, ANP

• Community/Retail Pharmacy in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.