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PORTLAND DRUG LLC
NPI 1942611504
Pharmacy - Community/Retail Pharmacy in Portland, AR

Active since May 16, 2014
233 N MAIN ST STE B, PORTLAND, AR 71663(870) 737-2813(870) 737-2781 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Sep 22, 2021 (2 updates tracked since 2021).

About Portland Drug Llc NPPES

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

PORTLAND DRUG LLC (NPI 1942611504), doing business as Portland Drug Store, is a healthcare organization registered as a community/retail pharmacy in Portland, Arkansas and active in the NPI registry since May 2014. The organization lists Khalil Lynn Crouse, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1942611504
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePORTLAND DRUG LLC
Location Address233 N MAIN ST STE BPortland, AR 71663-9230
Mailing AddressPo Box 552Lake Village, AR 71653-0552 · (870) 265-2220 · Fax (870) 265-3538
Phone(870) 737-2813
Fax(870) 737-2781
Organization SubpartNo
Authorized OfficialKhalil Lynn CrouseOwner/pharmacist · (870) 265-2220
Enumeration DateMay 16, 2014
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1942611504 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 · AR11429
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.
233 N MAIN ST STE B, Portland, AR 71663
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Other Names 1

Doing Business AsPortland Drug Store

Other Identifiers 1

Medicaid204989407AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

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 LLC's NPI number?

The NPI number for Portland Drug LLC is 1942611504. It was assigned to this organization in the NPPES registry on May 16, 2014. The provider is doing business as Portland Drug Store.

Where is Portland Drug LLC located?

Portland Drug LLC is located at 233 N Main St Ste B, Portland, AR 71663. The listed phone number is (870) 737-2813.

What is Portland Drug LLC's specialty?

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

What insurance does Portland Drug LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Arkansas Blue Cross and Blue Shield and Avera Health Plans and 20 other insurers list Portland Drug LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Portland Drug LLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.