Organization Active NPI

Salem Pharmacy Corporation

Doing business as Salem Pharmacy

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1356655617
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00705000 Issued in NJ
Legal business name
SALEM PHARMACY CORPORATION
Doing business as
Salem Pharmacy
Practice address
634 MLK Blvd
Newark, NJ 07102-1225
Phone
(973) 622-0114
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Nwodim Chinyere
Title
President/Ceo
Phone
(973) 622-0114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00705000 NJ Primary

Addresses

Primary practice location

634 MLK Blvd
Newark, NJ 07102-1225

Mailing address

634 MLK Blvd
Newark, NJ 07102-1225
Phone (973) 622-0114

Other names 1

  • Salem Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1356655617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 MLK BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021225",
            "telephone_number": "973-622-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 MLK BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021225",
            "telephone_number": "973-622-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "CHINYERE",
        "authorized_official_first_name": "NWODIM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "973-622-0114",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00705000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.