Northeast Pharmaceuticals Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

112171 Issued in AL

Legal business name

NORTHEAST PHARMACEUTICALS INC

Doing business as

NORTHEAST PHARMACEUTICALS CENTRAL

Practice address

3480 Eastern Blvd
Montgomery, AL 36116-1700

Phone

(334) 356-7627

Fax

(334) 356-7647

NPI assigned

Aug 30, 2006

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 2

Other names 1

• NORTHEAST PHARMACEUTICALS CENTRAL Doing business as

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1912016874",
    "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": "334-356-7627",
            "fax_number": "334-356-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 EASTERN BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161700",
            "telephone_number": "334-356-7627",
            "fax_number": "334-356-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "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": "112171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003315",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995049",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHEAST PHARMACEUTICALS CENTRAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Wayne Norris, LICSW
• Marvisha Norris, PTA
• Pamila Norris
• North Montgomery Volunteer Fire Deptartment
• Marsha North, NP-C
• Northeast Pharmaceuticals Inc
• Northland Hearing Centers, Inc
• Northland Hearing Centers, Inc.
• Malisa Ray Norton, CRNP
• Rachel Theresa Notareschi, CRNP

• Long Term Care Pharmacy in Montgomery, AL
• Providers in Montgomery, 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.