Organization Active NPI

Salem Crossroads Apothecary LLC

  • Long Term Care Pharmacy
  • Delmont, PA
National Provider Identifier
1013699735
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SALEM CROSSROADS APOTHECARY LLC
Practice address
195 Sheffield Dr Ste B
Delmont, PA 15626-1744
Phone
(724) 468-5565
Fax
(724) 468-8336
NPI assigned
Aug 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Dennis KieselNPI 1184331001
Title
Pharmacist in Charge
Phone
(724) 468-5565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

195 Sheffield Dr Ste B
Delmont, PA 15626-1744

Mailing address

195 Sheffield Dr Ste B
Delmont, PA 15626-1744
Phone (724) 468-5565

Other names 1

  • Salem Crossroads Apothecary Doing business as

National Provider Directory

National Provider Directory

Locations

195 Sheffield Dr
Ste B
Delmont, PA 15626
Phone (724) 468-5565

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1013699735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SHEFFIELD DR STE B",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261744",
            "telephone_number": "724-468-5565",
            "fax_number": "724-468-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 SHEFFIELD DR STE B",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261744",
            "telephone_number": "724-468-5565",
            "fax_number": "724-468-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM CROSSROADS APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "KIESEL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "724-468-5565"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Crossroads Apothecary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salem Crossroads Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delmont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.