Individual provider Active NPI

James Dean Passereni Jr., R.PH.

  • Pharmacist
  • Salem, IN
National Provider Identifier
1720922305
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26016096A Issued in IN
Practice address
2041 N Quaker Rd
Salem, IN 47167-7025
Phone
(812) 216-3521
Fax
(812) 216-3521
NPI assigned
Apr 15, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 26016096A IN Primary

Addresses

Primary practice location

2041 N Quaker Rd
Salem, IN 47167-7025

Mailing address

2041 N Quaker Rd
Salem, IN 47167-7025
Phone (812) 216-3521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26016096AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1720922305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 N QUAKER RD",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471677025",
            "telephone_number": "812-216-3521",
            "fax_number": "812-883-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 N QUAKER RD",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471677025",
            "telephone_number": "812-216-3521",
            "fax_number": "812-216-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSERENI",
        "first_name": "JAMES",
        "middle_name": "DEAN",
        "name_suffix": "Jr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26016096A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 15, 2026; 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.