Organization Active NPI

Salem Drug Company Inc

  • Durable Medical Equipment & Medical Supplies
  • Salem, AR
National Provider Identifier
1659418234
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SALEM DRUG COMPANY INC
Practice address
502 Hwy 62 West
Salem, AR 72576
Phone
(870) 895-7455
Fax
(870) 895-3784
NPI assigned
Jan 31, 2007
Last updated
Oct 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Darla YorkNPI 1982263141
Title
Owner
Phone
(870) 895-7455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

502 Hwy 62 West
Salem, AR 72576

Mailing address

PO Box 940
Salem, AR 72576-0940
Phone (870) 895-7455

Other identifiers 1

IdentifierTypeStateIssuer
138840716MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190211000784 AR Part B Supplier - Pharmacy 3375664717 Practice locations: Salem, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1659418234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725760940",
            "telephone_number": "870-895-7455",
            "fax_number": "870-895-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 HWY 62 WEST",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "72576",
            "telephone_number": "870-895-7455",
            "fax_number": "870-895-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-895-7455"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138840716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.

Verify at the official NPI Registry.