| Portland Clinic Pharmacy | |
|
420 Tn-52 Portland TN 37148 | |
| (615) 909-4030 | |
| (615) 909-6005 |
| Full Name | Portland Clinic Pharmacy |
|---|---|
| Speciality | Internal Medicine |
| Location | 420 Tn-52, Portland, Tennessee |
| Authorized Official Name and Position | Mike Stinnett (OWNER/PHARMACIST) |
| Authorized Official Contact | 2703235050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Clinic Pharmacy 420 Tn-52 Portland TN 37148 Ph: (615) 909-4030 | Portland Clinic Pharmacy 420 Tn-52 Portland TN 37148 Ph: (615) 909-4030 |
| NPI Number | 1750935367 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 09/02/2025 |
| Medicare PECOS PAC ID | 2163839275 |
|---|---|
| Medicare Enrollment ID | O20210407000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750935367 | NPI | - | NPPES |
| Q054208 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | (* (Not Available)) | Secondary |
Portland Prescription Shop Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 S Broadway St, Portland, TN 37148 Phone: 615-323-5050 Fax: 615-323-5052 | |
Michael D. Littell, D.o., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Broadway, Portland, TN 37148 Phone: 615-325-3100 Fax: 615-325-0076 | |
Portland Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Redbud Dr, Suite E, Portland, TN 37148 Phone: 615-325-1206 | |
One To One Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 932 S Broadway St, Suite B, Portland, TN 37148 Phone: 423-718-9188 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 Phone: 615-221-5901 | |
Sumner Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Broadway St, Portland, TN 37148 Phone: 615-325-3100 Fax: 615-325-0076 | |
Crossroads Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Highway 52 W, Portland, TN 37148 Phone: 615-672-7122 |