Porter Drug Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PORTER DRUG INC

Practice address

621 State Avenue
Hampton, IL 61256

Phone

(309) 755-3862

Fax

(309) 755-4126

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard J Porter, RPH

Title

Owner RPH

Phone

(309) 755-3862

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Porters Village RX Doing business as

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164587762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "address_2": "621 STATE AVENUE",
            "city": "HAMPTON",
            "state": "IL",
            "postal_code": "61256",
            "telephone_number": "309-755-3862",
            "fax_number": "309-755-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 STATE AVENUE",
            "city": "HAMPTON",
            "state": "IL",
            "postal_code": "61256",
            "telephone_number": "309-755-3862",
            "fax_number": "309-755-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER RPH",
        "authorized_official_telephone_number": "309-755-3862",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1423184",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Porters Village RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Hampton, IL
• Providers in Hampton, IL by specialty
• Pharmacy in Illinois

• 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.