Harmons Drug Store Inc
Organization Active NPI Community/Retail Pharmacy · Palestine, IL
NPI 1700289808 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1700289808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- HARMONS DRUG STORE INC
- Practice address
- 101 N Main St
Palestine, IL 62451-1263 - Phone
- (618) 586-5010
- Fax
- (618) 586-5012
- NPI assigned
- Oct 2, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- HARMON'S DRUG STORE, INC
Authorized official
- Name
- Brad E Harmon
- Title
- Owner/Pharmacist
- Phone
- (618) 586-5010
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150819006646 | IL | DME Supplier - Pharmacy | 3577680222 | Practice locations: Palestine, IL |
| O20170222002245 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 3577680222 | Practice locations: Palestine, IL |
National Provider Directory
- Tax ID family
- Harmons Drug Store Inc
- Part of
- Harmons Drug Store Inc
Locations
101 N Main St
Palestine, IL 62451
Phone (618) 586-5010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
101 N Main St
Palestine, IL 62451-1263
Mailing address
101 N Main St
Palestine, IL 62451-1263
Phone (618) 586-5010
Other names
- Harmon's Health Mart Palestine
- Harmon's Drug Store
Other providers in Palestine, IL
- Crawford Hospital District
- Mary Ann Gerrity
- Harmon'S Drug Store, Inc
- Amanda Jo Harrington
- McKenna Jones
- Abbey McCord
- Palestine Cusd 3
- Madelyn Taylor
All providers in Palestine, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.