Active NPI
Throgmorton Powless Pharmacy
- Durable Medical Equipment & Medical Supplies
- Flora, IL
National Provider Identifier
1629149893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- THROGMORTON POWLESS PHARMACY
- Practice address
- 123 E North Ave
Flora, IL 62839-2028 - Phone
- (618) 662-2174
- NPI assigned
- Nov 10, 2006
- 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
- Mr. Robert C Powless, RPH
- Title
- Pharmacist Owner
- Phone
- (618) 662-2174
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | IL | Primary | |
| Community/Retail Pharmacy | 3336C0003X | IL | ||
| Compounding Pharmacy | 3336C0004X | IL |
Addresses
Primary practice location
123 E North Ave
Flora, IL 62839-2028
Mailing address
123 E North Ave
PO Box 577
Flora, IL 62839-2028
Phone (618) 662-2174
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370627101001 | Medicaid | IL | |
| 1422548 | Other | IL | NABP |
National Provider Directory
National Provider Directory- Tax ID family
- Throgmorton Powless Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Flora, IL
- NPI 1356488183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1629149893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E NORTH AVE",
"address_2": "PO BOX 577",
"city": "FLORA",
"state": "IL",
"postal_code": "628392028",
"telephone_number": "618-662-2174"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THROGMORTON POWLESS PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "POWLESS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHARMACIST OWNER",
"authorized_official_telephone_number": "618-662-2174",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370627101001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1422548",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.