Portland Prescription Shop PLLC
NPI 1043612880 · Internal Medicine Physician · Portland, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Portland Prescription Shop PLLC is a Internal Medicine Physician organization in Portland, TN (NPI 1043612880).
Provider details
- NPI number
- 1043612880
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Stinnett, Ceo(270) 392-4248
- License
- 5451 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-09-24
- Last updated
- 2023-08-24
- Certified
- 2023-08-24
Frequently asked questions
- What is Portland Prescription Shop PLLC's NPI number?
- Portland Prescription Shop PLLC's National Provider Identifier (NPI) is 1043612880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portland Prescription Shop PLLC?
- Portland Prescription Shop PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Portland Prescription Shop PLLC located?
- Portland Prescription Shop PLLC's practice location on file with NPPES is 705 S Broadway St, Portland, TN 37148-1628.
- What is Portland Prescription Shop PLLC's phone number?
- The practice phone number listed in the NPPES registry for Portland Prescription Shop PLLC is (615) 323-5050.
- Does Portland Prescription Shop PLLC accept Medicare?
- Portland Prescription Shop PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Portland Prescription Shop PLLC?
- The authorized official listed on Portland Prescription Shop PLLC's NPPES record is Michael Stinnett, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portland Prescription Shop PLLC's NPI active?
- Yes — Portland Prescription Shop PLLC's NPI (1043612880) is active in the NPPES registry as of the last update on 2023-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.