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NORTHEAST PHARMACEUTICALS INC NPI 1912016874


NPI Information

NPI: 1912016874
Provider Name: NORTHEAST PHARMACEUTICALS INC

Doing Business As: NORTHEAST PHARMACEUTICALS CENTRAL

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3480 EASTERN BLVD
MONTGOMERY, AL
ZIP 36116
Phone: (334) 356-7627
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NORTHEAST PHARMACEUTICALS INC is a long term care pharmacy pharmacy in Montgomery, AL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. NORTHEAST PHARMACEUTICALS INC NPI is 1912016874. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Pharmaceuticals Central.

The provider's business location address is:

3480 EASTERN BLVD
MONTGOMERY, AL
ZIP 36116-700
Phone: (334) 356-7627
Fax: (334) 356-7647

The provider's authorized official is Latonya Porter .
The authorized official title is Director Of Operations and has the following contact phone number (334) 356-7627.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 7/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy112171ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100003315MEDICAIDALABAMA
21995049OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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