Organization Active NPI

Port Salem Pharmacy Corp

Doing business as Salem Drugs

  • Community/Retail Pharmacy
  • Port Washington, NY
National Provider Identifier
1871674531
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PORT SALEM PHARMACY CORP
Doing business as
Salem Drugs
Practice address
475 Port Washington Blvd
Port Washington, NY 11050
Phone
(516) 944-8668
Fax
(516) 944-3078
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Mr. Paul Mark Schimel, PHARMACISTNPI 1386968048
Title
Owner
Phone
(516) 944-8668

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

475 Port Washington Blvd
Port Washington, NY 11050

Mailing address

475 Port Washington Blvd # 8a
Port Washington, NY 11050-4291
Phone (516) 944-8668

Other identifiers 1

IdentifierTypeStateIssuer
01092644MedicaidNY

Other names 1

  • Salem Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171117002315 NY Part B Supplier - Pharmacy 9234495607 Practice locations: Port Washington, NY
O20210126002478 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9234495607 Practice locations: Port Washington, NY

National Provider Directory

National Provider Directory

Locations

475 Port Washington Blvd
#8A
Port Washington, NY 11050

475 Port Washington Blvd
Port Washington, NY 11050
Phone (516) 944-8668

370 Port Washington Blvd
Port Washington, NY 11050
Phone (516) 944-8668

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1871674531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 PORT WASHINGTON BLVD # 8A",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504291",
            "telephone_number": "516-944-8668",
            "fax_number": "516-944-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 PORT WASHINGTON BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "11050",
            "telephone_number": "516-944-8668",
            "fax_number": "516-944-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT SALEM PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "SCHIMEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-944-8668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01092644",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salem Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.