NPIMap

Organization Active NPI

Northeast Pharmaceuticals Inc

Doing business as Northeast Pharmaceuticals

  • Long Term Care Pharmacy
  • Florence, AL
National Provider Identifier
1255758561
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
114323 Issued in AL
Legal business name
NORTHEAST PHARMACEUTICALS INC
Doing business as
Northeast Pharmaceuticals
Practice address
4131 Helton Dr
Florence, AL 35630-6207
Phone
(334) 819-4500
Fax
(334) 819-4520
NPI assigned
Mar 25, 2014
Last updated
Jul 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Latonya Porter
Title
Director of Operations
Phone
(334) 819-4500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X 114323 AL Primary

Addresses

Primary practice location

4131 Helton Dr
Florence, AL 35630-6207

Mailing address

3480 Eatern Boulevard
Montgomery, AL 36116
Phone (334) 819-4500

Other identifiers 1

IdentifierTypeStateIssuer
2144849OtherPK

Other names 1

  • Northeast Pharmaceuticals Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northeast Pharmaceuticals Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1255758561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 EATERN BOULEVARD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36116",
            "telephone_number": "334-819-4500",
            "fax_number": "334-819-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 HELTON DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306207",
            "telephone_number": "334-819-4500",
            "fax_number": "334-819-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "334-819-4500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "114323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Pharmaceuticals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.