Active NPI
Harmon'S Drug Store, Inc
- Community/Retail Pharmacy
- Oblong, IL
National Provider Identifier
1295885218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 051033226
- Legal business name
- HARMON'S DRUG STORE, INC
- Practice address
- 111 E Main St
Oblong, IL 62449-0159 - Phone
- (618) 592-4231
- Fax
- (618) 592-4410
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brad Harmon
- Title
- President/Pharmacist
- Phone
- (618) 592-4231
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 051033226 | IL | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
111 E Main St
Oblong, IL 62449-0159
Mailing address
PO Box 159
Oblong, IL 62449-0159
Phone (618) 592-4231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930013584 | IL | DME Supplier - Pharmacy | 3577680222 | Practice locations: Oblong, IL |
| O20140108001702 | IL | Part B Supplier - Pharmacy | 3577680222 |
1 other NPI on this enrollment Practice locations: Oblong, IL; Robinson, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Harmons Drug Store Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Oblong, IL
- NPI 1306306105
-
- Community/Retail Pharmacy
- Robinson, IL
- NPI 1831873561
-
- Long Term Care Pharmacy
- Palestine, IL
- NPI 1982164794
-
- Community/Retail Pharmacy
- Palestine, IL
- NPI 1700289808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593129600000",
"number": "1295885218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 159",
"city": "OBLONG",
"state": "IL",
"postal_code": "624490159",
"telephone_number": "618-592-4231",
"fax_number": "618-592-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E MAIN ST",
"city": "OBLONG",
"state": "IL",
"postal_code": "624490159",
"telephone_number": "618-592-4231",
"fax_number": "618-592-4410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARMON'S DRUG STORE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A",
"authorized_official_last_name": "HARMON",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
"authorized_official_telephone_number": "618-592-4231"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": "051033226",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oblong, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.