POTTER DRUG INC
NPI 1073594859
Pharmacy - Community/Retail Pharmacy in Petersburg, IL

Active since November 09, 2005
200 S 6TH ST, PETERSBURG, IL 62675(217) 632-2287(217) 632-2033 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Potter Drug Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTTER DRUG INC (NPI 1073594859) is a healthcare organization registered as a community/retail pharmacy in Petersburg, Illinois and active in the NPI registry since November 2005. The organization lists Patrick Potter, President, as its authorized official.

NPPES Registry Identity

NPI1073594859
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePOTTER PHARMACY INC
Location Address200 S 6TH STPetersburg, IL 62675-1553
Mailing AddressPo Box 498Petersburg, IL 62675-0498
Fax(217) 632-2033
Organization SubpartNo
Authorized OfficialPatrick PotterPresident · (217) 632-2288
Enumeration DateNovember 9, 2005
Last NPPES UpdateMarch 6, 2014
NPI 1073594859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in IL · 054006072
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
200 S 6TH ST, Petersburg, IL 62675

Other Names 1

Doing Business AsPotter Drug Inc

Other Identifiers 2

Other2023312Pk
Medicaid=========001IL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Long Term Care Pharmacy)
200 S 6TH ST
PETERSBURG, IL 62675
Pharmacy (Community/Retail Pharmacy)
200 S 6TH ST
PETERSBURG, IL 62675
Pharmacist
200 S 6TH ST
PETERSBURG, IL 62675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Potter Pharmacy Inc's NPI number?

The NPI number for Potter Pharmacy Inc is 1073594859. It was assigned to this organization in the NPPES registry on November 9, 2005. The provider is doing business as Potter Drug Inc.

Where is Potter Pharmacy Inc located?

Potter Pharmacy Inc is located at 200 S 6th St, Petersburg, IL 62675. The listed phone number is (217) 632-2287.

What is Potter Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Potter Pharmacy Inc was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.