Provider Demographics
NPI:1104978709
Name:NORTH ALABAMA RADIOPHARMACY, INC.
Entity type:Organization
Organization Name:NORTH ALABAMA RADIOPHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOESPH
Authorized Official - Middle Name:MAX
Authorized Official - Last Name:AKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-383-6309
Mailing Address - Street 1:2711 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-1388
Mailing Address - Country:US
Mailing Address - Phone:256-383-6309
Mailing Address - Fax:256-383-2135
Practice Address - Street 1:2709 2ND ST
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-1388
Practice Address - Country:US
Practice Address - Phone:256-383-6309
Practice Address - Fax:256-383-2135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL113094332BP3500X, 3336H0001X
AL125603336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1000035583Medicaid
AL009993775Medicaid
AL1000035583Medicaid