Active NPI
Salamen & Worthing Enterprises LLC
- Community/Retail Pharmacy
- Ann Arbor, MI
National Provider Identifier
1275740219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301008830
- Legal business name
- SALAMEN & WORTHING ENTERPRISES LLC
- Practice address
- 3280 Washtenaw Ave
Ste B
Ann Arbor, MI 48104-4250 - Phone
- (734) 369-8782
- Fax
- (734) 585-5184
- NPI assigned
- May 17, 2007
- 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
- Austin Christopher Murphy
- Title
- VP/Secretary/Manager
- Phone
- (305) 808-9838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301008830 | MI | Primary |
Addresses
Primary practice location
3280 Washtenaw Ave
Ste B
Ann Arbor, MI 48104-4250
Mailing address
3280 Washtenaw Ave
Ste B
Ann Arbor, MI 48104-4250
Phone (734) 369-8782
Other names 1
- Clark Professional Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201204000945 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 8729499264 | Practice locations: Ann Arbor, MI |
National Provider Directory
National Provider DirectoryLocations
3280 Washtenaw Ave
Ste B
Ann Arbor, MI 48104
Phone (734) 369-8782
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Ann Arbor, MI
- NPI 1548860075
-
- Pharmacist
- Ann Arbor, MI
- NPI 1326644675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1275740219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 WASHTENAW AVE",
"address_2": "STE B",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044250",
"telephone_number": "734-369-8782",
"fax_number": "734-585-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 WASHTENAW AVE",
"address_2": "STE B",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044250",
"telephone_number": "734-369-8782",
"fax_number": "734-585-5184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALAMEN & WORTHING ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "AUSTIN",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "VP/SECRETARY/MANAGER",
"authorized_official_telephone_number": "305-808-9838"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301008830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clark Professional Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Clark Professional Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.