NPIMap

Organization Active NPI

Northeast Pharmaceuticals Inc

  • Long Term Care Pharmacy
  • Montgomery, AL
National Provider Identifier
1912340639
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
114090 Issued in AL
Legal business name
NORTHEAST PHARMACEUTICALS INC
Doing business as
Northeast Pharmaceuticals Montgomery
Practice address
2140 Upper Wetumpka Rd
Montgomery, AL 36107-1342
Phone
(334) 356-7627
Fax
(334) 356-7647
NPI assigned
Apr 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Latonya Porter
Title
Director of Operatons
Phone
(334) 356-7627

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X 114090 AL Primary

Addresses

Primary practice location

2140 Upper Wetumpka Rd
Montgomery, AL 36107-1342

Mailing address

3480 Eastern Blvd
Montgomery, AL 36116-1700
Phone (334) 356-7627

Other identifiers 1

IdentifierTypeStateIssuer
2139978OtherPK

Other names 1

  • Northeast Pharmaceuticals Montgomery 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": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1912340639",
    "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": "2140 UPPER WETUMPKA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361071342",
            "telephone_number": "334-356-7627",
            "fax_number": "334-356-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATONS",
        "authorized_official_telephone_number": "334-356-7627"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AL",
            "license": "114090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139978",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Pharmaceuticals Montgomery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • 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.