NPIMap

Organization Active NPI

Harry's LTC Pharmacy

Doing business as Harry's Pharmacy, Inc

  • Long Term Care Pharmacy
  • Auburn, IL
National Provider Identifier
1821591207
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
054011122 Issued in IL
Legal business name
HARRY'S LTC PHARMACY
Doing business as
Harry's Pharmacy, Inc
Practice address
620 E Jackson St
Auburn, IL 62615-9784
Phone
(217) 438-6141
Fax
(217) 438-3447
NPI assigned
Mar 13, 2018
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Scott BorntregerNPI 1003418971
Title
President
Phone
(217) 438-6141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X 054011122 IL Primary

Addresses

Primary practice location

620 E Jackson St
Auburn, IL 62615-9784

Mailing address

620 E Jackson St
Auburn, IL 62615-9784
Phone (217) 438-6141

Other identifiers 1

IdentifierTypeStateIssuer
2176447OtherPK

Other names 1

  • Harry's Pharmacy, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carroll Street Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1821591207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E JACKSON ST",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "626159784",
            "telephone_number": "217-438-6141",
            "fax_number": "217-438-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E JACKSON ST",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "626159784",
            "telephone_number": "217-438-6141",
            "fax_number": "217-438-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY'S LTC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "BORNTREGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-438-6141"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054011122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harry's Pharmacy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.