SALEM PHARMACY LLC (NPI# 1982120333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982120333 |
| 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 | (860) 949-8624 |
| Practice Fax Number | 8609498646 |
| Mailing Telephone | 8609498624 |
| Mailing Fax Number | 8609498646 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | WENDY MIKOLINSKI (OWNER) |
| Authorized Official Telephone | 8609498624 |
| Is Organization Subpart | Y |
| Parent Organization Name | SALEM PHARMACY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PCY2252 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008042535 | 05 |
| 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 |
| 1619228202 | Salem Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2012-09-24 |
| 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 |
|---|---|---|---|---|
| 1619228202 | Salem Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2012-09-24 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
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|---|---|---|---|---|
| 1881776722 | Quisenberry Pharmacies Inc. | Pharmacy | 150 Liberty St Se, Salem, OR 97301-3506 | 2006-10-19 |
| 1316950041 | Baker & Baker Inc | Pharmacy | 106 Highway 62 W # 412, Salem, AR 72576-8059 | 2006-08-14 |
| 1225072093 | Wisdom Drug LLC | Pharmacy | 117 W 4th St, Salem, MO 65560-1255 | 2006-06-15 |
| 1245741347 | Bandy's Pharmacy Inc | Pharmacy | 1413 W Whittaker St, Salem, IL 62881-2015 | 2017-10-16 |
| 1922418615 | Palace Drug of Salem LLC | Pharmacy | 106 Highway 62 W # 412, Salem, AR 72576-8059 | 2014-05-02 |
| 1316182959 | Hollywood Pharmacy Inc | Pharmacy | 1890 Capitol St Ne, Salem, OR 97301-7859 | 2008-12-11 |
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| 1740658889 | Evine LLC | Pharmacy | 54 Tuttle Pl, Middletown, CT 06457-1863 | 2015-09-07 |
| 1992189146 | Wassef LLC | Pharmacy | 535 Boston Post Rd, Old Saybrook, CT 06475-1506 | 2015-07-17 |
| 1558704072 | Care 4 U Pharmacy, Inc. | Pharmacy | 216 Christian Ln, Suite B, Berlin, CT 06037-1450 | 2013-04-15 |
| 1609095868 | Danielson Pharmacy Inc | Pharmacy | 77 A Westcott Rd, Danielson, CT 06239 | 2007-04-25 |
| 1881791093 | Value Healthcare Services LLC | Pharmacy | 525 Knotter Dr, Cheshire Industrial Park, Cheshire, CT 06410-1100 | 2006-09-20 |
| 1851401814 | James L. Trifiro | Pharmacy | 1300 Hopmeadow St, Simsbury, CT 06070-1411 | 2006-08-30 |
| 1336170349 | Partners of Connecticut, LLC | Pharmacy | 6 Thompson Rd, East Windsor, CT 06088-9626 | 2006-07-06 |
| 1629077912 | Arrow Prescription Center 14 Inc | Pharmacy | 100 Woodland St, Hartford, CT 06105-1223 | 2005-07-19 |
| 1780689836 | Masonic Healthcare Center | Pharmacy | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2005-06-16 |
| Find all providers with the same taxonomy | ||||
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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.