# NORTHEAST PHARMACEUTICALS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Northeast Pharmaceuticals Montgomery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912340639
- **Authorized official:** LATONYA PORTER (DIRECTOR OF OPERATONS)
- **Authorized official phone:** (334) 356-7627

## Contact information

- **Practice address:** 2140 UPPER WETUMPKA RD, MONTGOMERY, AL 36107-1342
- **Practice address phone:** (334) 356-7627
- **Practice address fax:** (334) 356-7647
- **Mailing address:** 3480 EASTERN BLVD, MONTGOMERY, AL 36116-1700
- **Mailing address phone:** (334) 356-7627
- **Mailing address fax:** (334) 356-7647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 114090 | AL | Yes |

## Other

- **Enumeration date:** 04/11/2013
- **Last updated:** 07/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2139978 | PK | — |