Palace Drug of Salem LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PALACE DRUG OF SALEM LLC

Practice address

106 Highway 62 W
Salem, AR 72576-8059

Phone

(870) 895-3811

Fax

(870) 895-3836

NPI assigned

Feb 3, 2025

Organization subpart

No

Name

Sarah ClarkNPI 1578409884

Title

Director of Pharmacy Operations

Phone

(870) 625-3222

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Clark, CCHW

  • Community Health Worker
  • Mammoth Spring, AR
  • NPI 1578409884
  NPD Authorized official
• Michael J Clark

  • Pharmacist
  • Mammoth Spring, AR
  • NPI 1467894766
  NPD

Tax ID family

Palace Drug of Salem2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Palace Drug of Salem LLC

  • Pharmacy
  • Salem, AR
  • NPI 1922418615
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2025.

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1003620972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "MAMMOTH SPRING",
            "state": "AR",
            "postal_code": "725540007",
            "telephone_number": "870-625-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HIGHWAY 62 W",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725768059",
            "telephone_number": "870-895-3811",
            "fax_number": "870-895-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE DRUG OF SALEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "870-625-3222"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keechia Gean Muse, AGPCNP
• Venita Lynne Ninemire
• North Arkanas Electric Cooperative Inc
• Northeast Arkansas Community Mental Health Center Inc
• Ozarks Medical Center
• Palace Drug of Salem LLC
• Tara Rae Pate, APRN, FNP-C
• April D Perry
• Rebecca Plumlee Phillips, M.D.
• April Leann Porter, PHARM.D., BCACP, MTS

• All providers in Salem, AR
• Long Term Care Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.