SOUTHEAST PHARMACEUTICALS, INC. (NPI# 1518054816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518054816 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST PHARMACEUTICALS, INC. |
| 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 | 2006-10-06 |
| Last Update Date | 2011-11-30 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | 027146 | AL | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
027146 | AL | Suppliers |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
027146 | AL | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
027146 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009505350 | 05 | |
| FL | 106273501 | 05 | |
| AL | BCBS | 510-36152 | 01 |
| Street Address |
704 TROY HWY STE A |
| City | ELBA |
| State | AL |
| Zip Code | 36323-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427167477 | Southeast Pharmaceuticals, Inc | Durable Medical Equipment & Medical Supplies | 704 Troy Hwy, Ste A, Elba, AL 36323-1521 | 2006-08-30 |
| 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 | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353363 | Health Now Jackson, LLC | Durable Medical Equipment & Medical Supplies | 3802 N College Ave Ste 107, Jackson, AL 36545-2046 | 2020-07-16 |
| 1578185963 | At Home Medical Inc | Durable Medical Equipment & Medical Supplies | 108 N Randolph Ave, Eufaula, AL 36027-1631 | 2020-05-08 |
| 1013577519 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 234 Oxmoor Cir Ste 208, Homewood, AL 35209-6439 | 2019-06-17 |
| 1144706136 | Oxymed, LLC | Durable Medical Equipment & Medical Supplies | 333 Greeno Rd S Ste C, Fairhope, AL 36532-1931 | 2018-07-13 |
| 1548707847 | Southern Patient Care, Inc. | Durable Medical Equipment & Medical Supplies | 839 Airport Dr Ste 102, Alex City, AL 35010-3451 | 2017-01-24 |
| 1932642386 | Hair Designs & Restoration Center LLC | Durable Medical Equipment & Medical Supplies | 24375 Us Highway 80 W, Demopolis, AL 36732-5018 | 2016-12-01 |
| 1710342308 | Southeastern Home Oxygen Service, Inc. | Durable Medical Equipment & Medical Supplies | 2310 Crawford Rd Ste 106, Phenix City, AL 36867-3612 | 2015-12-23 |
| 1861897324 | Wave Medical Equipment | Durable Medical Equipment & Medical Supplies | 333 Greeno Rd S, Suite C, Fairhope, AL 36532-1930 | 2014-10-27 |
| 1831501493 | Imed Equip LLC | Durable Medical Equipment & Medical Supplies | 1201 3rd Ave North, Birmingham, AL 35203 | 2014-05-29 |
| 1508207267 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 210 Bearden Rd, Pelham, AL 35124 | 2013-07-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHEAST PHARMACEUTICALS, INC..
| 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.