Palace Drug of Salem LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

AR05957 Issued in AR

Legal business name

PALACE DRUG OF SALEM LLC

Doing business as

Palace Drug of Salem

Practice address

106 Highway 62 W
Salem, AR 72576-8059

Phone

(870) 895-3811

Fax

(870) 895-3836

NPI assigned

May 2, 2014

Last updated

Apr 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah ClarkNPI 1578409884

Title

Member/Owner

Phone

(870) 625-3222

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Palace Drug of Salem Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Tax ID family

Palace Drug of Salem2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Palace Drug of Salem LLC

  • Long Term Care Pharmacy
  • Salem, AR
  • NPI 1003620972
  NPD tax ID

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.

• Sarah Clark, CCHW

  • Community Health Worker
  • Mammoth Spring, AR
  • NPI 1578409884
  NPD Authorized official
• Michael J Clark

  • Pharmacist
  • Mammoth Spring, AR
  • NPI 1467894766
  NPD

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1922418615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725760247",
            "telephone_number": "870-895-3811",
            "fax_number": "870-895-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HIGHWAY 62 W",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725768059",
            "telephone_number": "870-895-3811",
            "fax_number": "870-895-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE DRUG OF SALEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "870-625-3222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR05957",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palace Drug of Salem",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palace Drug of Salem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Venita Lynne Ninemire
• North Arkanas Electric Cooperative Inc
• Northeast Arkansas Community Mental Health Center Inc (Mid South Health Systems)
• Ozarks Medical Center (Salem 1st Care)
• Palace Drug of Salem LLC
• Tara Rae Pate, APRN, FNP-C
• April D Perry
• Rebecca Plumlee Phillips, M.D.
• April Leann Porter, PHARM.D., BCACP, MTS
• Amanda Leann Quinn, RN

• Pharmacy in Salem, AR
• Providers in Salem, AR by specialty
• Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.