Portland Clinic Pharmacy

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PORTLAND CLINIC PHARMACY

Practice address

420 TN-52
Portland, TN 37148

Phone

(615) 909-4030

Fax

(615) 909-6005

NPI assigned

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Mike Stinnett

Title

Owner/Pharmacist

Phone

(270) 323-5050

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Gallatin Prescription Shop Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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

• Anthony Everhart, MD

  • Internal Medicine Physician
  • Kingsport, TN
  • NPI 1972505279

  Internal Medicine

  NPD
• Michael Kenneth McDuffee, DPH

  • Pharmacist
  • Gallatin, TN
  • NPI 1730158205
  NPD

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1750935367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 TN-52",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "37148",
            "telephone_number": "615-909-4030",
            "fax_number": "615-909-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 TN-52",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "37148",
            "telephone_number": "615-909-4030",
            "fax_number": "615-909-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2025-09-02",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "STINNETT",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "270-323-5050"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q054208",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gallatin Prescription Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul R Porter MD
• Pharmacy Express of Portland Inc
• Pamela Poghen, APRN
• Laura Porter-Guyer, PA
• Paul R. Porter, M.D.
• Portland Medical
• Portland Nursing & Rehab Center, Inc.
• Portland Prescription Shop PLLC
• Portland Primary Care LLC
• Portland Primary Care, LLC

• All providers in Portland, TN
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.

Verify at the official NPI Registry.