NPIMap

Organization Active NPI

Northeast Pharmaceuticals, Inc

  • Institutional Pharmacy
  • Irondale, AL
National Provider Identifier
1437584463
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
114200 Issued in AL
Legal business name
NORTHEAST PHARMACEUTICALS, INC
Practice address
4941 Montevallo Rd
Irondale, AL 35210-2418
Phone
(334) 819-4500
Fax
(334) 819-4520
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Latonage Porter
Title
Pharmacist
Phone
(334) 819-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 114200 AL Primary

Addresses

Primary practice location

4941 Montevallo Rd
Irondale, AL 35210-2418

Mailing address

3480 Eastern Blvd
Montgomery, AL 36116-1700
Phone (334) 819-4500

Other identifiers 1

IdentifierTypeStateIssuer
2141987OtherPK

Other names 1

  • Northeast Pharmaceuticals, Inc 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": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1437584463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 EASTERN BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161700",
            "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": "4941 MONTEVALLO RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102418",
            "telephone_number": "334-819-4500",
            "fax_number": "334-819-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PHARMACEUTICALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LATONAGE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "334-819-4500"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "AL",
            "license": "114200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Pharmaceuticals, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.