Organization Active NPI

Salem Pharmacy, Inc.

  • Pharmacist
  • Benton, AR
National Provider Identifier
1922095785
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6144 Issued in AR
Legal business name
SALEM PHARMACY, INC.
Practice address
1208 Salem Rd
Benton, AR 72015-8340
Phone
(501) 316-1600
Fax
(501) 316-1700
NPI assigned
Oct 5, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steve E Carlton, PD
Title
Owner
Phone
(501) 316-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 6144 AR Primary

Addresses

Primary practice location

1208 Salem Rd
Benton, AR 72015-8340

Mailing address

1208 Salem Rd
Benton, AR 72015-8340
Phone (501) 316-1600

Other identifiers 1

IdentifierTypeStateIssuer
0420276OtherARNCPDP

National Provider Directory

National Provider Directory

Locations

1208 Salem Rd
Benton, AR 72019
Phone (501) 316-1600

Practitioners & affiliated clinicians

Practitioners 2

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922095785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 SALEM RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720158340",
            "telephone_number": "501-316-1600",
            "fax_number": "501-316-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 SALEM RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720158340",
            "telephone_number": "501-316-1600",
            "fax_number": "501-316-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-316-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "6144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0420276",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.