NORTHEAST PHARMACEUTICALS, INC. (NPI# 1295013530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295013530 |
| Entity Type | Organization |
| Organization Name | NORTHEAST PHARMACEUTICALS, INC. |
| Practice Address |
608 Marquette Road Brandon MS 39042 |
| Mailing Address |
608 Marquette Rd Brandon MS 39042 |
| Practice Telephone | 3343567627 |
| Practice Fax Number | 3343568347 |
| Mailing Telephone | 3343567627 |
| Mailing Fax Number | 3343568347 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-05 |
| Authorized Official Name | KRYSTAL L MIMS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3343567627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
09098 | MS | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821353657 | Northeast Pharmaceuticals, Inc. | Pharmacy | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2012-07-09 |
| Street Address |
608 MARQUETTE ROAD |
| City | BRANDON |
| State | MS |
| Zip Code | 39042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114449287 | Family Drug Mart of Brandon, LLC | Pharmacy | 212 E Government St, Brandon, MS 39042-3152 | 2017-07-11 |
| 1194119875 | H&o Specialty Pharmacy LLC | Pharmacy | 500 Vonderburg Dr Ste 113w, Brandon, FL 33511-5969 | 2015-03-20 |
| 1942587787 | Freds Stores of Tennessee Inc | Pharmacy | 1898 Spillway Rd, Brandon, MS 39047-6063 | 2011-11-08 |
| 1699079756 | Balaji Pharma LLC | Pharmacy | 162 N Parsons Ave, Brandon, FL 33510 | 2011-01-04 |
| 1316261035 | Alpha Drug Inc | Pharmacy | 1450 Oakfield Dr, Brandon, FL 33511-4853 | 2010-03-24 |
| 1811221385 | Gudoc Pharmacy Pllc | Pharmacy | 106 S Parsons Ave, Brandon, FL 33511-5225 | 2009-09-30 |
| 1972743573 | Choice Pharmacy #002 | Pharmacy | 401 S Parsons Ave, Suite C, Brandon, FL 33511-5292 | 2009-02-23 |
| 1255547915 | F & B Drugs Inc | Pharmacy | 209 S Moon Avenue, Brandon, FL 33511 | 2007-05-16 |
| 1568532679 | Bill's Prescription Center, Inc. | Pharmacy | 202 E Brandon Blvd, Brandon, FL 33511-5221 | 2006-11-08 |
| 1780783092 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 112 Stribling Ln, Brandon, MS 39042-6600 | 2006-09-22 |
| Find all providers in BRANDON | ||||
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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.