Salem Drug Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

100-0946 Issued in SD

Legal business name

SALEM DRUG INCORPORATED

Doing business as

Salem Community Drug

Practice address

300 North Main Street
Salem, SD 57058

Phone

(605) 425-2827

Fax

(605) 425-2052

NPI assigned

Oct 3, 2006

Last updated

Mar 17, 2021By 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

Mr. Eric Grocott

Title

Owner/ Pharmacist

Phone

(605) 425-2827

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Salem Community Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in SD2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• William J Roth

  • Pharmacist
  • Salem, SD
  • NPI 1467438960
  NPD (past)
• Bryan L. Schierholz

  • Pharmacist
  • Salem, SD
  • NPI 1790870186
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1356436844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "SALEM",
            "state": "SD",
            "postal_code": "57058",
            "telephone_number": "605-425-2827",
            "fax_number": "605-425-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTH MAIN STREET",
            "city": "SALEM",
            "state": "SD",
            "postal_code": "57058",
            "telephone_number": "605-425-2827",
            "fax_number": "605-425-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM DRUG INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "GROCOTT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST",
        "authorized_official_telephone_number": "605-425-2827",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "100-0946SD",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SD",
            "license": "100-0946",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-0946",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SD",
            "license": "100-0946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8502580",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Community Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salem Community Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Presidential Properties LLC (Leisure Living Salem)
• Robyn Randall
• Ruth E Rotert, PT, DPT
• William J Roth
• Salem Care and Rehabilitation Center LLC (Salem Care and Rehabilitation Center)
• Salem Elderly Living LLC
• Salem SD Skilled Nursing Facility LLC (Avantara Salem)
• Bryan L. Schierholz
• Allison Thielsen, DPT
• Amy Lynette Tuschen, MA CCC SLP

• Community/Retail Pharmacy in Salem, SD
• Providers in Salem, SD by specialty
• Community/Retail Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.