Southside Pharmacy Llc
Community/Retail Pharmacy
3320 4th Ave Ste F, Conway
South Carolina, 29527-6057
843-248-6550 843-248-6553
Southside Pharmacy Llc is a Community/Retail Pharmacy in Conway, South Carolina. It is located at 3320 4th Ave Ste F, Conway and it's customer support contact number is 843-248-6550. The authorized person of Southside Pharmacy Llc is Johnny Capps who is President/pharmacist In Charge of the pharmacy and his contact number is 843-248-6550. Active license number of Southside Pharmacy Llc is 13996 for Community/Retail Pharmacy in South Carolina. Southside Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Southside Pharmacy Llc 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:
Southside Pharmacy Llc 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: | Southside Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 3320 4th Ave Ste F, Conway,
South Carolina, 29527-6057 |
| Phone: | 843-248-6550 |
| Fax: | 843-248-6553 |
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: | Johnny Capps |
| Position: | President/pharmacist In Charge |
| Contact Number: | 843-248-6550 |
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: | 1104186212 |
| NPI Enumeration Date: | 22 May, 2012 |
| NPI Last Update On: | 17 Jan, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southside Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 13996 | South Carolina | Primary | |
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 |
| 2135319 | Other | | Pk |
| 71399D | Medicaid | South Carolina | |
Medicare Enrollment:
Southside Pharmacy Llc 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 |
| 9931401890 | O20160108001537 | Southside Pharmacy Llc | 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: | 3320 4th Ave Ste F,
Conway, South Carolina |
| Zip: | 29527-6057 |
| Phone Number: | 843-248-6550 |
| Fax Number: | 843-248-6553 |
Patients can reach Southside Pharmacy Llc at
3320 4th Ave Ste F, Conway, South Carolina or can
call on customer care at 843-248-6550.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.