Organization Active NPI

North Alabama Radiopharmacy, Inc.

  • Compounding Pharmacy
  • Muscle Shoals, AL
National Provider Identifier
1104978709
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
12560 Issued in AL
Legal business name
NORTH ALABAMA RADIOPHARMACY, INC.
Doing business as
North Alabama Infusion & Compounding
Practice address
2709 2ND St
Muscle Shoals, AL 35661-1388
Phone
(256) 383-6309
Fax
(256) 383-2135
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Joesph Max Akin
Title
Owner
Phone
(256) 383-6309

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 113094 AL
Compounding Pharmacy 3336C0004X 12560 AL Primary
Home Infusion Therapy Pharmacy 3336H0001X 113094 AL

Addresses

Primary practice location

2709 2ND St
Muscle Shoals, AL 35661-1388

Mailing address

2711 2ND St
Muscle Shoals, AL 35661-1388
Phone (256) 383-6309

Other identifiers 2

IdentifierTypeStateIssuer
1000035583MedicaidAL
009993775MedicaidAL

Other names 1

  • North Alabama Infusion & Compounding Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930066954 AL DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company 8224077516 Practice locations: Muscle Shoals, AL

National Provider Directory

National Provider Directory

Locations

2711 2nd St
Muscle Shoals, AL 35661
Phone (256) 383-6309

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1104978709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 2ND ST",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356611388",
            "telephone_number": "256-383-6309",
            "fax_number": "256-383-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 2ND ST",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356611388",
            "telephone_number": "256-383-6309",
            "fax_number": "256-383-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ALABAMA RADIOPHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "AKIN",
        "authorized_official_first_name": "JOESPH",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-383-6309"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AL",
            "license": "113094",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AL",
            "license": "12560",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "AL",
            "license": "113094",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035583",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009993775",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Alabama Infusion & Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.