Organization Active NPI

Dutch Pharmacies Inc

Doing business as Family Pharmacy of Northport

  • Community/Retail Pharmacy
  • Northport, AL
National Provider Identifier
1710477393
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114803 Issued in AL
Legal business name
DUTCH PHARMACIES INC
Doing business as
Family Pharmacy of Northport
Practice address
1110 Mitt Lary Rd
Northport, AL 35475-4978
Phone
(205) 409-9777
Fax
(205) 409-9778
NPI assigned
May 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Joseph Gillis
Title
Owner
Phone
(662) 327-5202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 114803 AL Primary

Addresses

Primary practice location

1110 Mitt Lary Rd
Northport, AL 35475-4978

Mailing address

1110 Mitt Lary Rd
Northport, AL 35475-4978
Phone (205) 409-9777

Other identifiers 1

IdentifierTypeStateIssuer
2171252OtherPK

Other names 1

  • Family Pharmacy of Northport Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180709000192 AL Part B Supplier - Pharmacy 9436362845 Practice locations: Northport, AL
O20210421002505 AL Part B Supplier - Mass Immunization (Roster Biller Only) 9436362845 Practice locations: Northport, AL

National Provider Directory

National Provider Directory
Tax ID family
Dutch Pharmacies Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1110 Mitt Lary Rd
Northport, AL 35475
Phone (205) 409-9777

3600 Bluecutt Rd
Ste 2
Columbus, MS 39705
Phone (662) 798-0707

113 N Lehmberg Rd
#399
Columbus, MS 39702
Phone (662) 329-1810

1214 Highway 45 N
#2
Columbus, MS 39705
Phone (662) 329-0054

1245 N Lehmberg Rd
#1
Columbus, MS 39702
Phone (662) 329-9060

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1710477393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MITT LARY RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754978",
            "telephone_number": "205-409-9777",
            "fax_number": "205-409-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MITT LARY RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754978",
            "telephone_number": "205-409-9777",
            "fax_number": "205-409-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCH PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-327-5202"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2171252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy of Northport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 10, 2025; 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.