Organization Active NPI

Salem Apothecary, Inc

  • Community/Retail Pharmacy
  • Salem, IN
National Provider Identifier
1114984473
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60003161 Issued in IN
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

Updated by the provider on Oct 15, 2020

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.NPI 1790027431
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100302600AMedicaidIN
300030797MedicaidIN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0928836Salem Apothecary Inc3 Public SQ, Salem, IN 47167Certificate of waiverMay 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.