SOUTHEAST PHARMACEUTICALS, INC (NPI# 1427167477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427167477 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST PHARMACEUTICALS, INC |
| Other Organization Name | SOUTHEAST PHARMACEUTICALS VITAL CARE |
| Practice Address |
704 Troy Hwy Ste A Elba AL 36323-1521 |
| Mailing Address |
Po Box 415 Elba AL 36323-0415 |
| Practice Telephone | 3348973746 |
| Practice Fax Number | 3348973716 |
| Mailing Telephone | 3348973746 |
| Mailing Fax Number | 3348973716 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-01-29 |
| Authorized Official Name | MR. JOHN NEAL HOLLEY (PRESIDENT) |
| Authorized Official Telephone | 3348973746 |
| Authorized Official Credential | RPH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
110474 | AL | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
110474 | AL | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
110474 | AL | Suppliers |
| N | 333600000X | Pharmacy | 110474 | AL | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
110474 | AL | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
110474 | AL | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
110474 | AL | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
110474 | AL | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
110474 | AL | Suppliers |
| N | 251E00000X | Home Health | 110474 | AL | Agencies |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 110474 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 100002728 | 05 | |
| FL | 106273500 | 05 | |
| AL | 009505350 | 05 | |
| AL | BCBS DME | 510-36152 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTHEAST PHARMACEUTICALS VITAL CARE | Doing Business As Name - Organization |
| Street Address |
704 TROY HWY STE A |
| City | ELBA |
| State | AL |
| Zip Code | 36323-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518054816 | Southeast Pharmaceuticals, Inc. | Durable Medical Equipment & Medical Supplies | 704 Troy Hwy, Ste A, Elba, AL 36323-1521 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972610947 | Timothy Michael Jackson | Dentist | 982 Drayton Avenue, Elba, AL 36323 | 2006-08-24 |
| 1467484493 | Freds Stores of Tennessee Inc | Pharmacy | 966 Hwy 203, Elba, AL 36323 | 2006-07-07 |
| 1871850297 | Noah Tucker Inpatient Services | Internal Medicine | 987 Drayton Street, Elba, AL 36323 | 2012-04-23 |
| 1356490197 | Coffee County Health Dept-elba Mat | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-01-10 |
| 1821123928 | State of Alabama Department of Public Health | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-22 |
| 1649314634 | Coffee County Health Dept-elba Vfc Immun | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1669516373 | Coffee County Health Dept-elba Mat Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1093859894 | Coffee County Health Dept-elba Epsdt Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1710020896 | Coffee County Health Dept-elba Fp Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-15 |
| 1417090630 | Coffee County Health Dept-elba Epsdt | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-15 |
| Find all providers in zip 36323 | ||||
| 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 |
|---|---|---|---|---|
| 1518054816 | Southeast Pharmaceuticals, Inc. | Durable Medical Equipment & Medical Supplies | 704 Troy Hwy, Ste A, Elba, AL 36323-1521 | 2006-10-06 |
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| Find all providers with the same taxonomy | ||||
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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.