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NPI 1821353657
● Active Type 2 · Organization
Northeast Pharmaceuticals, Inc.
Pharmacy · Rome, GA · NPI 1821353657
·
Enumerated 2012 · 13 years on NPI
Northeast Pharmaceuticals, Inc. is 1 of 321 pharmacy organizations in Georgia.
NPI age
13 years
Enumerated 2012-07-09
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mims
Director Of Operations
Last NPPES update
2014-06-05
Source: monthly bulk 2026-05
How this organization compares
Across 321 active pharmacy providers in Georgia.
NPI age
13 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2012 → 2026
2012-07 Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
6 Mathis Dr Nw
Rome, GA 301651242
📞 7062376306 fax 7066222135
Mailing address
3480 Eastern Blvd
Montgomery, AL 361161700
📞 3343567627 fax 3343568347
Authorized official
Krystal Mims
Director Of Operations
📞 3343567627
Individual providers at this organization
20 individual providers on file at this primary practice address.
Misty Brackett
Community Health Worker
NPI 1902252356
Peggy Brown , LPC
Counselor
NPI 1558427005
Angel Carnes , M.S.ED. / M.S.
Counselor
NPI 1215392709
Emory Chatman
Social Worker
NPI 1013373687
Jada Clarke , B.S.
Counselor
NPI 1851756126
Susan Cobb , RN
Registered Nurse
NPI 1164888384
Benjamin Crapps , ATC, RN
Registered Nurse
NPI 1649419052
La Tonya Daniel
Counselor
NPI 1689048993
Lisa Dodd
Counselor
NPI 1225402480
Rhonda Fields
Counselor
NPI 1285008359
Relecia Garrett , LPN
Licensed Practical Nurse
NPI 1104280247
Brenda Georges
Counselor
NPI 1376953141
Barbara Glanton
Case Manager/Care Coordinator
NPI 1154787927
Robert Hamilton
Counselor
NPI 1891151585
William Hamilton , ADVANCED PRACTICE NP
Nurse Practitioner
NPI 1447014675
Carrie Hobbs
Social Worker
NPI 1639534977
Sharon Jenkins , L.C.S.W.
Social Worker
NPI 1336403112
Lori Leonard , NP
Nurse Practitioner
NPI 1811314644
Ronnie Marks , LMSW
Social Worker
NPI 1265807341
Reginald McDaniel
Counselor
NPI 1881050441
Specialties
Pharmacy
Primary
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
GA license #PHRE009839 taxonomy 3336L0003X
Identifiers
Type Value Notes
01
1162611
NCPDP PROVIDER IDENTIFICATION NUMBER
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.