SOUTHEAST PHARMACEUTICALS INC NPI 1427167477

NPI Information

  • NPI: 1427167477
  • Provider Name: SOUTHEAST PHARMACEUTICALS, INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: SOUTHEAST PHARMACEUTICALS VITAL CARE
  • Address: 704 TROY HWY
    STE A
    ELBA, AL
    ZIP 36323
  • Phone: (334) 897-3746

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NPI Details

SOUTHEAST PHARMACEUTICALS, INC is a durable medical equipment medical supplies in Elba, AL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SOUTHEAST PHARMACEUTICALS, INC NPI is 1427167477. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeast Pharmaceuticals Vital Care.

The provider's business location address is:

704 TROY HWY
STE A
ELBA, AL
ZIP 36323-521
Phone: (334) 897-3746
Fax: (334) 897-3716

The provider's authorized official is John Neal Holley .
The authorized official title is President and has the following contact phone number (334) 897-3746.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 1/29/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment110474ALABAMANo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition110474ALABAMANo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies110474ALABAMANo
4333600000XPharmacy110474ALABAMANo
53336C0003XPharmacyCommunity/Retail Pharmacy110474ALABAMANo
63336H0001XPharmacyHome Infusion Therapy Pharmacy110474ALABAMANo
73336L0003XPharmacyLong Term Care Pharmacy110474ALABAMANo
83336M0002XPharmacyMail Order Pharmacy110474ALABAMANo
93336S0011XPharmacySpecialty Pharmacy110474ALABAMANo
10251E00000XHome Health110474ALABAMANo
11332B00000XDurable Medical Equipment & Medical Supplies110474ALABAMAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100002728MEDICAIDALABAMA
2510-36152OTHERALABAMABCBS DME
3=========001OTHERALABAMATRICARE
40942780001MEDICARE NSC
5=========OTHERALABAMAMAILHANDLERS
6106273500MEDICAIDFLORIDA
7=========002OTHERALABAMATRICARE CSP
8009505350MEDICAIDALABAMA
9051555177MEDICARE ID-TYPE UNSPECIFIEDALABAMAPART B

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: 11/21/2025

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