SALEM PHARMACY LLC (NPI# 1619228202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619228202 |
| Entity Type | Organization |
| Organization Name | SALEM PHARMACY LLC |
| Other Organization Name | SALEM HEALTH MART PHARMACY |
| Practice Address |
20 Hartford Rd Ste 16 Salem CT 06420-3800 |
| Practice Telephone | 8609498624 |
| Practice Fax Number | 8609498646 |
| Mailing Telephone | 8609498624 |
| Mailing Fax Number | 8609498646 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | WENDY MIKOLINSKI (OWNER/MANAGER) |
| Authorized Official Telephone | 8606552885 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PCY0002252 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008042535 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0722923 | 01 |
| Other Name | Type Code |
|---|---|
| Salem Health Mart Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151938 | Salem Pharmacy LLC | Pharmacy | 3273 Salem Rd, Covington, GA 30016-1863 | 2020-07-09 |
| 1982120333 | Salem Pharmacy LLC | Pharmacy | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2017-08-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Salem Pharmacy LLC | 28730 Alabama Highway 99 Suite A, Elkmont, AL 35620 |
| Street Address |
20 HARTFORD RD STE 16 |
| City | SALEM |
| State | CT |
| Zip Code | 06420-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982120333 | Salem Pharmacy LLC | Pharmacy | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265945257 | Molly Giannattasio | Occupational Therapist | 11 Center Street Suite 6, Salem, CT 06420 | 2017-11-13 |
| 1558354902 | Mary Ann S Pudimat | Anesthesiology | 61 Emerald Glen Lane, Salem, CT 06420 | 2005-08-31 |
| 1184648925 | Karen S Williams | Nurse Practitioner | 25 Witch Meadow Rd, Salem, CT 06420-3602 | 2006-07-26 |
| 1114312162 | Nancy Rodgers | Counselor | 147 Way Rd, Salem, CT 06420-3716 | 2015-04-06 |
| 1164410601 | Gardner Lake Volunteer Fire Company | Ambulance | 429 Old Colchester Rd, Salem, CT 06420-3748 | 2005-10-10 |
| 1063418234 | Alla Gorenbeyn | Dentist | 20 Hartford Rd, Suite 34, Salem, CT 06420-3800 | 2005-06-22 |
| 1447462338 | Joan D Rankowitz | Dental Hygienist | 20 Hartford Rd, Suite 34, Salem, CT 06420-3800 | 2007-05-04 |
| 1417175977 | Michele Lee Sauvageau-krahn | Dental Hygienist | 20 Hartford Rd, Salem, CT 06420-3800 | 2007-04-23 |
| 1922142900 | Roseann Z George | Durable Medical Equipment & Medical Supplies | 20 Hartford Rd, Suite 30, Salem, CT 06420-3800 | 2007-02-16 |
| 1346763679 | Salem School District | Local Education Agency (LEA) | 200 Hartford Rd, Salem, CT 06420-3804 | 2017-07-19 |
| Find all providers in zip 06420 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477027852 | Premier Pharmacy LLC | Pharmacy | 53 Stiles Rd Ste B102, Salem, NH 03079-2890 | 2019-01-18 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1386090793 | Good Living Inc | Pharmacy | 1201 N Jim Day Rd Ste B, Suite B, Salem, IN 47167-7219 | 2016-05-05 |
| 1760859367 | Quisenberry Health System Pharmacy, LLC | Pharmacy | 148 Liberty St Se, Salem, OR 97301-3506 | 2015-08-31 |
| 1649306531 | Benignity LLC Dba Fort Lewis Pharmacy | Pharmacy | 2246 West Main St, Salem, VA 24153 | 2007-02-26 |
| 1316047749 | Cvs Pharmacy Inc | Pharmacy | 272 Highland Ave, Salem, MA 01970-1832 | 2006-09-25 |
| 1366542318 | Guffeys Pharmacy Inc | Pharmacy | 172 Hwy 62 E, Suite 2, Salem, AR 72576-0155 | 2006-09-22 |
| 1487753836 | Cvs Pharmacy Inc | Pharmacy | 200 Essex St, Salem, MA 01970-3705 | 2006-09-22 |
| 1730288184 | Cvs Pharmacy Inc | Pharmacy | 426b Essex St, Salem, MA 01970-3152 | 2006-09-22 |
| 1982707618 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 179 Electric Rd, Salem, VA 24153-4432 | 2006-09-07 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.