Southern Village Pharmacy Inc
Community/Retail Pharmacy
300 Market St, Suite 114, Chapel Hill
North Carolina, 27516-4493
919-240-4084 919-724-4568
Southern Village Pharmacy Inc is a Community/Retail Pharmacy in Chapel Hill, North Carolina. It is located at 300 Market St, Suite 114, Chapel Hill and it's customer support contact number is 919-240-4084. The authorized person of Southern Village Pharmacy Inc is Edward Gaeton Leake who is Owner/manager of the pharmacy and his contact number is 919-240-4084. Active license number of Southern Village Pharmacy Inc is 11405 for Community/Retail Pharmacy in North Carolina. Southern Village Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Southern Village Pharmacy Inc 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.
Pharmacy Details:
Southern Village Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Southern Village Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 300 Market St, Suite 114, Chapel Hill,
North Carolina, 27516-4493 |
| Phone: | 919-240-4084 |
| Fax: | 919-724-4568 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Edward Gaeton Leake |
| Position: | Owner/manager |
| Contact Number: | 919-240-4084 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1033456371 |
| NPI Enumeration Date: | 07 Jan, 2013 |
| NPI Last Update On: | 21 Jan, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Village Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 11405 | North Carolina | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0685595 | Medicaid | North Carolina | |
| 2138555 | Other | | Pk |
Medicare Enrollment:
Southern Village Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6709028111 | O20130815000056 | Southern Village Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 300 Market St, Suite 114
Chapel Hill, North Carolina |
| Zip: | 27516-4493 |
| Phone Number: | 919-240-4084 |
| Fax Number: | 919-724-4568 |
Patients can reach Southern Village Pharmacy Inc at
300 Market St, Suite 114, Chapel Hill, North Carolina or can
call on customer care at 919-240-4084.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.