Portland Drug LLC
NPI 1942611504 · Community/Retail Pharmacy · Portland, AR
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Portland Drug LLC is a Community/Retail Pharmacy organization in Portland, AR (NPI 1942611504).
Provider details
- NPI number
- 1942611504
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Khalil Crouse, Owner/Pharmacist(870) 265-2220
- License
- AR11429 (AR)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Other names (DBA / former)
- Doing business as
- Portland Drug Store
- Doing business as
- Portland Drug Store
Registry dates
- Enumerated
- 2014-05-16
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Portland Drug LLC's NPI number?
- Portland Drug LLC's National Provider Identifier (NPI) is 1942611504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portland Drug LLC?
- Portland Drug LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Portland Drug LLC located?
- Portland Drug LLC's practice location on file with NPPES is 233 N Main St Ste B, Portland, AR 71663-9230.
- What is Portland Drug LLC's phone number?
- The practice phone number listed in the NPPES registry for Portland Drug LLC is (870) 737-2813.
- Does Portland Drug LLC accept Medicare?
- Portland Drug LLC 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 Drug LLC?
- The authorized official listed on Portland Drug LLC's NPPES record is Khalil Crouse, Owner/Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portland Drug LLC's NPI active?
- Yes — Portland Drug LLC's NPI (1942611504) is active in the NPPES registry as of the last update on 2026-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.