NPIMap

Organization Active NPI

Salem Pharmacy LLC

Doing business as Salem Health Mart Pharmacy

  • Long Term Care Pharmacy
  • Salem, CT
National Provider Identifier
1982120333
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PCY2252 Issued in CT
Legal business name
SALEM PHARMACY LLC
Doing business as
Salem Health Mart Pharmacy
Practice address
20 Hartford Rd Ste 16
Salem, CT 06420-3800
Phone
(860) 949-8624
Fax
(860) 949-8646
NPI assigned
Aug 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SALEM PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Wendy MikolinskiNPI 1942593041
Title
Owner
Phone
(860) 949-8624

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
Long Term Care Pharmacy 3336L0003X PCY2252 CT Primary

Addresses

Primary practice location

20 Hartford Rd Ste 16
Salem, CT 06420-3800

Mailing address

20 Hartford Rd Ste 16
Salem, CT 06420-3800
Phone (860) 949-8624

Other names 1

  • Salem Health Mart Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Salem Pharmacy LLC2 organizations share this tax ID, including this one
Part of
Salem Pharmacy LLC

Other organizations with this tax ID 1

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

Locations

20 Hartford Rd
Ste 16
Salem, CT 06420
Phone (860) 949-8624

24 Hartford Rd
Ste 11
Salem, CT 06420
Phone (860) 949-8624

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982120333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HARTFORD RD STE 16",
            "city": "SALEM",
            "state": "CT",
            "postal_code": "064203800",
            "telephone_number": "860-949-8624",
            "fax_number": "860-949-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HARTFORD RD STE 16",
            "city": "SALEM",
            "state": "CT",
            "postal_code": "064203800",
            "telephone_number": "860-949-8624",
            "fax_number": "860-949-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALEM PHARMACY LLC",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MIKOLINSKI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-949-8624"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CT",
            "license": "PCY2252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.