Active NPI
Salem Apothecary, Inc
- Community/Retail Pharmacy
- Salem, IN
National Provider Identifier
1114984473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 60003161
- Legal business name
- SALEM APOTHECARY, INC
- Practice address
- 3 Public SQ
Salem, IN 47167-2050 - Phone
- (812) 883-4500
- Fax
- (812) 883-1440
- NPI assigned
- Apr 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rebecca C Marshall, R.PH.
- Title
- President/Pharmacist
- Phone
- (812) 883-4500
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 60003161 | IN | |
| Community/Retail Pharmacy | 3336C0003X | 60003161 | IN | Primary |
Addresses
Primary practice location
3 Public SQ
Salem, IN 47167-2050
Mailing address
3 Public SQ
Salem, IN 47167-2050
Phone (812) 883-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100302600A | Medicaid | IN | |
| 300030797 | Medicaid | IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0928836 | Salem Apothecary Inc | Certificate of waiver | May 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
3 Public Sq
Salem, IN 47167
Phone (812) 883-4500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Salem, IN
- NPI 1790027431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602720000000",
"number": "1114984473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PUBLIC SQ",
"city": "SALEM",
"state": "IN",
"postal_code": "471672050",
"telephone_number": "812-883-4500",
"fax_number": "812-883-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PUBLIC SQ",
"city": "SALEM",
"state": "IN",
"postal_code": "471672050",
"telephone_number": "812-883-4500",
"fax_number": "812-883-1440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALEM APOTHECARY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-28",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
"authorized_official_telephone_number": "812-883-4500",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IN",
"license": "60003161",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IN",
"license": "60003161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100302600A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300030797",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.