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Southeastern Pharmacy LLC

Community/Retail Pharmacy in Brunswick, GA · enumerated 2006 · authorized official George Lewis, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336165547

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Registry record

Entity type Organization (Type 2)
Legal business name Southeastern Pharmacy LLC
Other name <Unavail>
Practice address 5711 Altama Ave, Unit G, Brunswick, GA, 31525
Phone (912) 264-2622
Fax (912) 264-1392
Enumeration date Jul 14, 2006
Last updated in NPPES Feb 17, 2020

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 002733 (GA) Primary

Authorized official

Name George Lewis
Title Owner
Phone (912) 264-2622

Other identifiers

Identifier Type State Issuer
000028256A Medicaid GA -
1106930 Other GA NABP
1106930 Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Southeastern Pharmacy LLC?
Southeastern Pharmacy LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-17.