Porter Drug Store, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2-04548 Issued in KS

Legal business name

PORTER DRUG STORE, INC.

Practice address

506 Main St
Neodesha, KS 66757-1739

Phone

(620) 325-2671

NPI assigned

Jul 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick Porter

Title

Pharmacist in Charge/Owner

Phone

(620) 325-2671

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073539235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MAIN ST",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571739",
            "telephone_number": "620-325-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MAIN ST",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571739",
            "telephone_number": "620-325-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "620-325-2671",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "2-04548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neodesha Operator, LLC
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• Philip Gordon Newkirk, DDS
• Carter W Odell, DPT
• Heather Odell, PT
• Ronald R Quanstrom, C.R.N.A.
• Shawn Eric Raymond, APRN
• Jackie F Reding, PTA
• RHC F Allen Moorhead Jr MD
• RHC/F. Allen Moorhead Jr. M.D.

• Pharmacist in Neodesha, KS
• Providers in Neodesha, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.