Northgate of the Shoals, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114202 Issued in AL

Legal business name

NORTHGATE OF THE SHOALS, INC

Practice address

3522 Cloverdale Rd
Florence, AL 35633-1339

Phone

(256) 766-1224

Fax

(256) 766-1235

NPI assigned

Sep 13, 2013

Organization subpart

No

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

Authorized official

Name

Chad Irons

Title

Pharmacist/President/Owner

Phone

(256) 766-1224

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northgate Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Chadwick Irons, PHARM D

  • Pharmacist
  • Florence, AL
  • NPI 1467646810
  NPD

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1457786071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 CLOVERDALE RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331339",
            "telephone_number": "256-766-1224",
            "fax_number": "256-766-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 CLOVERDALE RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331339",
            "telephone_number": "256-766-1224",
            "fax_number": "256-766-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGATE OF THE SHOALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "IRONS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT/OWNER",
        "authorized_official_telephone_number": "256-766-1224"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northgate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Florence, AL
• Providers in Florence, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.