OrganizationActive
Potter Pharmacy Inc
NPI 1073594859 · Community/Retail Pharmacy · Petersburg, IL
Provider details
- NPI number
- 1073594859
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Patrick Potter, President(217) 632-2288
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
200 S 6th St
Petersburg, IL 62675-1553
Phone: (217) 632-2287
Fax: (217) 632-2033
Street-level locationGet directions
Mailing address
Po Box 498
Petersburg, IL 62675-0498
Other names (DBA / former)
- Doing business as
- Potter Drug Inc
Registry dates
- Enumerated
- 2005-11-09
- Last updated
- 2014-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.