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NORTHEAST PHARMACEUTICALS INC. NPI 1821353657


NPI Information

NPI: 1821353657
Provider Name: NORTHEAST PHARMACEUTICALS, INC.

Doing Business As: NORTHEAST PHARMACEUTICALS, INC.

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
6 MATHIS DR NW
ROME, GA
ZIP 30165
Phone: (706) 237-6306
Get Directions

NORTHEAST PHARMACEUTICALS, INC. is a long term care pharmacy pharmacy in Rome, GA. 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 1821353657. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Pharmaceuticals, Inc..

The provider's business location address is:

6 MATHIS DR NW
ROME, GA
ZIP 30165-242
Phone: (706) 237-6306
Fax: (706) 622-2135

The provider's authorized official is Krystal Mims .
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 7/9/2012 and was last updated on 6/5/2014.


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
13336L0003XPharmacyLong Term Care PharmacyPHRE009839GEORGIAYes

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
11162611OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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: 5/5/2024

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