Active NPI
Good Living Inc
- Community/Retail Pharmacy
- Salem, IN
National Provider Identifier
1386090793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201356210A | Medicaid | IN | |
| 2159876 | Other | PK |
Other names 1
- Good Living Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Scottsburg, IN
- NPI 1932426822
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.