NPIMap

Organization Active NPI

New Salem Pharmacy LLC

Doing business as New Salem Pharmacy

  • Community/Retail Pharmacy
  • New Salem, ND
National Provider Identifier
1710056452
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR768 Issued in ND
Legal business name
NEW SALEM PHARMACY LLC
Doing business as
New Salem Pharmacy
Practice address
509 Ash Ave
New Salem, ND 58563-4501
Phone
(701) 843-7563
Fax
(701) 843-7564
NPI assigned
Nov 7, 2006
Last updated
Sep 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Dr. Daniel Churchill, PHARMDNPI 1740300110
Title
President
Phone
(701) 224-0339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHAR768 ND Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

509 Ash Ave
New Salem, ND 58563-4501

Mailing address

PO Box H
New Salem, ND 58563-0426
Phone (701) 843-7563

Other identifiers 1

IdentifierTypeStateIssuer
2137202OtherPK

Other names 1

  • NEW SALEM PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Churchill Pharmacy Holding4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 N 8th St
New Salem, ND 58563
Phone (701) 843-7563

509 Ash Ave
New Salem, ND 58563
Phone (701) 843-7563

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1710056452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX H",
            "city": "NEW SALEM",
            "state": "ND",
            "postal_code": "585630426",
            "telephone_number": "701-843-7563",
            "fax_number": "701-843-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ASH AVE",
            "city": "NEW SALEM",
            "state": "ND",
            "postal_code": "585634501",
            "telephone_number": "701-843-7563",
            "fax_number": "701-843-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SALEM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-224-0339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "PHAR768",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137202",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW SALEM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEW SALEM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Salem, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.