Herrin Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HERRIN DRUG INC

Doing business as

Herrin Drug

Practice address

116 N Park Ave
Herrin, IL 62948-3148

Phone

(618) 942-5315

Fax

(618) 942-4584

NPI assigned

Oct 26, 2005

Last updated

Nov 24, 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. David Allen Mattingly, R.PH.

Title

President/Pharmacist

Phone

(618) 942-5315

Specialties & licenses 4

Addresses

Other names 1

• Herrin Drug Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• 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": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1417947870",
    "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": "2005-10-26",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "618-942-5315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "054007687",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herrin Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Herrin Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Herrin Clinic LTD
• Herrin Community Unit Dist 4
• Herrin Community Unit School District No 4
• Herrin Dental LLC (Weekend Dental)
• Herrin Drug Inc
• Herrin Hospital Pharmacy
• Herrin Pediatrics
• Herrin Rehabilitation and Nursing Center, LLC
• Ida Hess, CNP
• Hannnah Hewlett

• Community/Retail Pharmacy in Herrin, IL
• Providers in Herrin, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.