Northeast Pharmaceuticals Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

113079 Issued in AL

Legal business name

NORTHEAST PHARMACEUTICALS INC

Doing business as

Northeast Pharmaceuticals Gadsden

Practice address

108 Fountain Ave
Gadsden, AL 35901-5652

Phone

(256) 413-4455

Fax

(256) 413-4477

NPI assigned

Mar 26, 2008

Last updated

Jul 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latonya Porter, RPH

Title

Director of Operations

Phone

(334) 356-7627

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORTHEAST PHARMACEUTICALS GADSDEN Doing business as

Locations

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1396917753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 EASTEN BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36116",
            "telephone_number": "256-413-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FOUNTAIN AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015652",
            "telephone_number": "256-413-4455",
            "fax_number": "256-413-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "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": "334-356-7627",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "113079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996297",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHEAST PHARMACEUTICALS GADSDEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Long Term Care Pharmacy in Alabama

• 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.