Northside Apothecary LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

NORTHSIDE APOTHECARY LLC

Practice address

70 Plaza Drive
Pell City, AL 35125-9314

Phone

(205) 814-9284

Fax

(205) 338-0865

NPI assigned

May 14, 2012

Organization subpart

Yes

Parent organization

INRI MEDICAL ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Dr. Ronald W. Helms II, M.D.

Title

President

Phone

(205) 814-9284

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Part of

Inri Medical Associates PC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Inri Medical Associates, PC

  • Family Medicine Physician
  • Pell City, AL
  • NPI 1831103837

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Inri Medical Associates, PC

  • Family Medicine Physician
  • Pell City, AL
  • NPI 1831103837
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Kyle

  • Pharmacist
  • Irondale, AL
  • NPI 1336504059
  NPD
• Richard Bradley Pate, PHARMD

  • Pharmacist
  • Pell City, AL
  • NPI 1952684375
  NPD (past)

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1053670844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PLAZA DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351259314",
            "telephone_number": "205-814-9284",
            "fax_number": "205-338-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PLAZA DRIVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351259314",
            "telephone_number": "205-814-9284",
            "fax_number": "205-338-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE APOTHECARY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INRI MEDICAL ASSOCIATES",
        "enumeration_date": "2012-05-14",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-814-9284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143787",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakota Dean Nichols, CRNP
• Holly Cova Nichols, CRNP
• Nna of Alabama, Inc. (Fresenius Medical Care Pell City)
• Norrell Clinic PA
• Ryan White Northcutt, LPTA
• Emily Ann O'Connor, LICSW
• Sarah Olia
• Cristy M Olive, PTA
• Claire Oliver
• Orthosports Associates, LLC

• Pharmacy in Pell City, AL
• Providers in Pell City, AL by specialty
• Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.