Apothecary Shoppe of West Salem Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054008438 Issued in IL

Legal business name

APOTHECARY SHOPPE OF WEST SALEM INC

Doing business as

The Apothecary Shoppe W Salem

Practice address

108 S Main St
West Salem, IL 62476-1202

Phone

(618) 456-3716

Fax

(618) 456-2029

NPI assigned

Oct 3, 2006

Last updated

Jun 10, 2015By 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

Kimberley Griffith, RPH

Title

Pres

Phone

(618) 456-3716

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• THE APOTHECARY SHOPPE W SALEM Doing business as

Practitioners 1

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.

• Emily Brown, PHARMD

  • Pharmacist
  • West Salem, IL
  • NPI 1417592098
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1093809402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "WEST SALEM",
            "state": "IL",
            "postal_code": "624760068",
            "telephone_number": "618-456-3716",
            "fax_number": "618-456-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "WEST SALEM",
            "state": "IL",
            "postal_code": "624761202",
            "telephone_number": "618-456-3716",
            "fax_number": "618-456-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY SHOPPE OF WEST SALEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "618-456-3716",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054008438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2018508",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE APOTHECARY SHOPPE W SALEM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Brown, PHARMD
• Harry Timothy Garrett, DO
• Gail Greathouse, FNP
• Kelly Rayhill Johnson, OTR
• Stormi T Raines, PA-C

• Community/Retail Pharmacy in West Salem, IL
• Providers in West Salem, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.