PROPHARM INC (NPI# 1154497071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154497071 |
| Entity Type | Organization |
| Organization Name | PROPHARM INC |
| Other Organization Name | HEALTHCARE AND IV SERVICES |
| Practice Address |
3500 Northbrook Drive Suite E Northport AL 35473-5818 |
| Mailing Address |
3500 Northbrook Dr Suite E Northport AL 35473-5818 |
| Practice Telephone | 2053395951 |
| Mailing Telephone | 2053395951 |
| Mailing Fax Number | 2053302432 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2008-03-11 |
| Authorized Official Name | PHILLIP R JENKINS (PRESIDENT) |
| Authorized Official Telephone | 2053395951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE ID NUMBER | 0542360001 | 01 |
| Other Name | Type Code |
|---|---|
| Healthcare and IV Services | Doing Business As Name - Organization |
| Street Address |
3500 NORTHBROOK DRIVE SUITE E |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-5818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487204384 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 13556 Highway 69 N, Northport, AL 35475 | 2019-09-13 |
| 1861840068 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1660 Mcfarland Blvd, Northport, AL 35476-3259 | 2016-05-27 |
| 1053737627 | Oxycare Plus, Inc | Durable Medical Equipment & Medical Supplies | 1001 Rose Dr, Suite B, Northport, AL 35476-2622 | 2014-03-06 |
| 1306277397 | Druid City Infusion | Durable Medical Equipment & Medical Supplies | 611 Mcfarland Blvd, Suite C, Northport, AL 35476-3333 | 2013-12-02 |
| 1538325774 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 820 Fort Salonga Rd, Northport, NY 11768-3151 | 2008-08-06 |
| 1437318748 | Babytalk Store LLC | Durable Medical Equipment & Medical Supplies | 933 Mcfarland Blvd, Northport, AL 35476-3374 | 2008-06-03 |
| 1366565939 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4280 Mitt Lary Road, Northport, AL 35475 | 2007-04-09 |
| 1659412146 | Gj&b Services Inc | Durable Medical Equipment & Medical Supplies | 2103 Lurleen B Wallace Blvd, Northport, AL 35476-3949 | 2007-02-09 |
| 1710086988 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 395 Fort Salonga Road, Northport, NY 11768-3099 | 2006-09-22 |
| 1306944269 | Colburn's Northport Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 909 Mcfarland Blvd, Northport, AL 35476-3373 | 2006-09-21 |
| Find all providers in NORTHPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.