Herrin Drug Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

HERRIN DRUG INC

Practice address

116 N Park Ave
Herrin, IL 62948-3148

Phone

(618) 942-5315

Fax

(618) 942-4584

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

David Mattingly

Title

President

Phone

(618) 942-5315

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scot Eric Walker, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Herrin, IL
  • NPI 1457202624
  NPD

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1235771122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483148",
            "telephone_number": "618-942-5315",
            "fax_number": "618-942-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483148",
            "telephone_number": "618-942-5315",
            "fax_number": "618-942-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRIN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-942-5315"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyissa D Hentz
• Herrin Clinic LTD
• Herrin Community Unit Dist 4
• Herrin Community Unit School District No 4
• Herrin Dental LLC
• Herrin Drug Inc
• Herrin Hospital Pharmacy
• Herrin Pediatrics
• Herrin Rehabilitation and Nursing Center, LLC
• Ida Hess, CNP

• Long Term Care Pharmacy in Herrin, IL
• Providers in Herrin, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.