Salmon Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SALMON PHARMACY, LLC

Practice address

309 Main Street
Salmon, ID 83467

Phone

(208) 742-3784

Fax

(208) 742-6363

NPI assigned

Feb 20, 2020

Last updated

Jul 2, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric Anderson, PHARMD

Title

Owner/Pharmacist

Phone

(208) 742-3784

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cody Sean Deforest

  • Pharmacist
  • Salmon, ID
  • NPI 1679259121
  NPD
• Kami Thimons, RPH

  • Pharmacist
  • Salmon, ID
  • NPI 1225407273
  NPD
• Tony Wright

  • Pharmacist
  • Kellogg, ID
  • NPI 1821372384
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1013540814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MAIN STREET",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "83467",
            "telephone_number": "208-742-3784",
            "fax_number": "208-742-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MAIN STREET",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "83467",
            "telephone_number": "208-742-3784",
            "fax_number": "208-742-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALMON PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "208-742-3784",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013540814",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River of No Return Anesthesia
• Rocky Mountain Holdings, LLC (Air Idaho Rescue)
• Kenneth Rogers, DDS
• Chloe Ann Russell-Evans, LMSW
• Salmon Mental Health Clinic PA
• Salmon River Chiropractic Inc.
• Salmon River Clinic
• Salmon River Joint School District #243
• Salmon River Vision Clinic, PLLC
• Salmon Speech and Swallowing Services

• Community/Retail Pharmacy in Salmon, ID
• Providers in Salmon, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.