Throgmorton Powless Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THROGMORTON POWLESS PHARMACY INC

Practice address

123 E North Ave
Flora, IL 62839-2028

Phone

(618) 662-2174

Fax

(618) 662-9442

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Bob Powless

Title

Owner

Phone

(618) 662-2174

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Throgmorton Powless Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Throgmorton Powless Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Flora, IL
  • NPI 1629149893
  NPD tax ID

Locations

Practitioners 1

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

• Robert C Powless, RPH

  • Pharmacist
  • Flora, IL
  • NPI 1326119595
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356488183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628390577",
            "telephone_number": "618-662-2174",
            "fax_number": "618-662-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E NORTH AVE",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628392028",
            "telephone_number": "618-662-2174",
            "fax_number": "618-662-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THROGMORTON POWLESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWLESS",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-662-2174"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370627101001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Christopher Suntrup, DMD
• James R Tarpley
• Henoke Tekeste
• Thrifty Pharmacy
• Throgmorton Powless Pharmacy
• Tammy Lynn Troyer, RN
• Kamy Dawn Vail
• Ashley Vanblaricum
• Katie Brianna Vanblaricum
• Krystal Volk

• Durable Medical Equipment & Medical Supplies in Flora, IL
• Providers in Flora, IL by specialty
• Durable Medical Equipment & Medical Supplies 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.