NPIMap

Organization Active NPI

Colburn's Northport Pharmacy, Inc.

Doing business as Northport Pharmacy

  • Community/Retail Pharmacy
  • Northport, AL
National Provider Identifier
1306944269
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
102610 Issued in AL
Legal business name
COLBURN'S NORTHPORT PHARMACY, INC.
Practice address
909 McFarland Blvd
Northport, AL 35476-3373
Phone
(205) 339-5800
Fax
(205) 339-5851
NPI assigned
Sep 21, 2006
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Robert M Colburn Jr., R.PH.NPI 1407527740
Title
Owner
Phone
(205) 339-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102610 AL
Community/Retail Pharmacy 3336C0003X 102610 AL Primary

Addresses

Primary practice location

909 McFarland Blvd
Northport, AL 35476-3373

Mailing address

909 McFarland Blvd
Northport, AL 35476-3373
Phone (205) 339-5800

Other identifiers 2

IdentifierTypeStateIssuer
100000181MedicaidAL
0102309OtherNCPDP

Other names 1

  • Northport Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930003134 AL DME Supplier - Pharmacy 5193846004 Practice locations: Northport, AL
O20121107000208 AL Part B Supplier - Mass Immunization (Roster Biller Only) 5193846004 Practice locations: Northport, AL

National Provider Directory

National Provider Directory
Tax ID family
Colburn's Northport Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1306944269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763373",
            "telephone_number": "205-339-5800",
            "fax_number": "205-339-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763373",
            "telephone_number": "205-339-5800",
            "fax_number": "205-339-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBURN'S NORTHPORT PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-339-5800",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "102610",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "102610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000181",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0102309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northport Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northport Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Northport Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.