Active NPI
Harmon's Drug Store, Inc
Doing business as Harmon's Drug Store Robinson
- Community/Retail Pharmacy
- Robinson, IL
National Provider Identifier
1831873561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2023
- 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
- Brad E Harmon, RPH
- Title
- Owner/Pharmacist
- Phone
- (618) 592-4231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054022499 | Other | IL | PHARMACY LICENSE |
Other names 1
- Harmon's Drug Store Robinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Store
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Oblong, IL
- NPI 1295885218
-
- Long Term Care Pharmacy
- Oblong, IL
- NPI 1306306105
-
- Long Term Care Pharmacy
- Palestine, IL
- NPI 1982164794
-
dba Harmon's Health Mart Palestine
- Community/Retail Pharmacy
- Palestine, IL
- NPI 1700289808
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.