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PORTLAND DRUG INC.
NPI 1578770582
Pharmacy - Community/Retail Pharmacy in Portland, AR

Active since May 17, 2007CLIA 04D2273180 · Waiver
105 HWY 165 SOUTH, PORTLAND, AR 71663(870) 737-2813 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portland Drug Inc. NPPES

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

PORTLAND DRUG INC. (NPI 1578770582) is a healthcare organization registered as a community/retail pharmacy in Portland, Arkansas and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Stanton Etheridge Veazey, President, as its authorized official.

NPPES Registry Identity

NPI1578770582
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePORTLAND DRUG INC.
Location Address105 HWY 165 SOUTHPortland, AR 71663
Mailing AddressPo Box 246Portland, AR 71663-0246 · (870) 737-2813
Phone(870) 737-2813
Organization SubpartNo
Authorized OfficialStanton Etheridge VeazeyPresident · (870) 737-2813
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1578770582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AR · 0411429
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.
105 HWY 165 SOUTH, Portland, AR 71663
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Other Identifiers 1

Other0411429AR · Nabp

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2273180

Portland Drug, LLC · Portland, AR
Active · expires Dec 7, 2026
CLIA Number04D2273180
Laboratory TypePharmacy
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorKhalil L. Crouse
Laboratory Phone(870) 737-2813
Laboratory LocationPortland Drug, LLC105 Hwy 165 South, Portland, AR 71663
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Portland Drug Inc.'s NPI number?

The NPI number for Portland Drug Inc. is 1578770582. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Portland Drug Inc. located?

Portland Drug Inc. is located at 105 Hwy 165 South, Portland, AR 71663. The listed phone number is (870) 737-2813.

What is Portland Drug Inc.'s specialty?

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

Does Portland Drug Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2273180) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Portland Drug Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.