Organization Active NPI

Harmon's Drug Store, Inc

Doing business as Harmon's Drug Store Robinson

  • Community/Retail Pharmacy
  • Robinson, IL
National Provider Identifier
1831873561
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HARMON'S DRUG STORE, INC
Doing business as
Harmon's Drug Store Robinson
Practice address
1101 N Allen St Ste a
Robinson, IL 62454-1168
Phone
(618) 546-7001
Fax
(833) 702-3551
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Brad E Harmon, RPH
Title
Owner/Pharmacist
Phone
(618) 592-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1101 N Allen St Ste a
Robinson, IL 62454-1168

Mailing address

PO Box 159
Oblong, IL 62449-0159
Phone (618) 592-4231

Other identifiers 1

IdentifierTypeStateIssuer
054022499OtherILPHARMACY LICENSE

Other names 1

  • Harmon's Drug Store Robinson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140108001702 IL Part B Supplier - Pharmacy 3577680222 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oblong, IL; Robinson, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Harmons Rexall Store5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

101 N Main St
Palestine, IL 62451
Phone (618) 586-5010

1101 N Allen St
Ste A
Robinson, IL 62454
Phone (618) 546-7001

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1831873561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "OBLONG",
            "state": "IL",
            "postal_code": "624490159",
            "telephone_number": "618-592-4231",
            "fax_number": "618-592-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N ALLEN ST STE A",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541168",
            "telephone_number": "618-546-7001",
            "fax_number": "833-702-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMON'S DRUG STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "618-592-4231",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "054022499",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmon's Drug Store Robinson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robinson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.