SOUTHERN VILLAGE PHARMACY INC NPI 1033456371

NPI Information

  • NPI: 1033456371
  • Provider Name: SOUTHERN VILLAGE PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 300 MARKET ST
    SUITE 114
    CHAPEL HILL, NC
    ZIP 27516
  • Phone: (919) 240-4084

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NPI Details

SOUTHERN VILLAGE PHARMACY INC is a community/retail pharmacy pharmacy in Chapel Hill, NC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SOUTHERN VILLAGE PHARMACY INC NPI is 1033456371. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

300 MARKET ST
SUITE 114
CHAPEL HILL, NC
ZIP 27516-493
Phone: (919) 240-4084
Fax: (919) 724-4568

The provider's authorized official is Edward Gaeton Leake .
The authorized official title is Owner/manager and has the following contact phone number (919) 240-4084.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 1/7/2013 and was last updated on 1/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy11405NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10685595MEDICAIDNORTH CAROLINA
22138555OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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