Organization Active NPI

Good Living Inc

  • Community/Retail Pharmacy
  • Salem, IN
National Provider Identifier
1386090793
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GOOD LIVING INC
Practice address
502 S Main St
Salem, IN 47167-1128
Phone
(812) 404-4153
Fax
(812) 404-4160
NPI assigned
May 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
J Davisson
Title
Owner/President
Phone
(812) 404-4153

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 60006567A IN
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

502 S Main St
Salem, IN 47167-1128

Mailing address

502 S Main St
Salem, IN 47167-1128
Phone (812) 404-4153

Other identifiers 2

IdentifierTypeStateIssuer
201356210AMedicaidIN
2159876OtherPK

Other names 1

  • Good Living Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1201 N Jim Day Rd
#B
Salem, IN 47167
Phone (812) 404-4153

502 S Main St
Salem, IN 47167
Phone (812) 404-4153

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": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1386090793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S MAIN ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671128",
            "telephone_number": "812-404-4153",
            "fax_number": "812-404-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S MAIN ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671128",
            "telephone_number": "812-404-4153",
            "fax_number": "812-404-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "DAVISSON",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "812-404-4153"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60006567A",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201356210A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159876",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Living Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Living Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 2025; 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.