SALEM PHARMACY (NPI# 1134118854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134118854 |
| Entity Type | Organization |
| Organization Name | SALEM PHARMACY |
| Practice Address |
1100 Salem Ave Dayton OH 45406-5144 |
| Practice Telephone | 9372762173 |
| Practice Fax Number | 9372762174 |
| Mailing Telephone | 9372762173 |
| Mailing Fax Number | 9372762174 |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | MR. JOHN P RYAN (PRESIDENT) |
| Authorized Official Telephone | 9372762173 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | OH | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2234273 | 05 | |
| OH | NABP | 3669364 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548787898 | Salem Pharmacy | Pharmacy | 28730 Al Highway 99 Ste A, Elkmont, AL 35620-7952 | 2017-08-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Salem Pharmacy LLC | 28730 Alabama Highway 99 Suite A, Elkmont, AL 35620 |
| System for Award Management (SAM) Entities | SALEM PHARMACY, LLC | 24 Hartford Rd Ste 11, Salem, CT 06420-3839 |
| Street Address |
1100 SALEM AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45406-5144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486294 | Harold Mordecai Brown | Family Medicine | 1100 Salem Ave, Dayton, OH 45406-5144 | 2005-06-13 |
| 1023561016 | Laura June Murphy | Nurse Practitioner | 1100 Salem Ave, Dayton, OH 45406-5144 | 2016-07-26 |
| 1669604609 | Robert Michael Holtrup | Physician Assistant | 1100 Salem Ave, Dayton, OH 45406-5144 | 2009-08-09 |
| 1083882138 | Burt E Schear Md & Associates Inc | Clinic/Center | 1100 Salem Ave, Dayton, OH 45406-5144 | 2008-02-12 |
| 1801885355 | Martin John Schear | Family Medicine | 1100 Salem Ave, Dayton, OH 45406-5144 | 2005-10-18 |
| 1326037870 | Scott David Shaw | Family Medicine | 1100 Salem Ave, Dayton, OH 45406-5144 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942786595 | Lawrence J Harper Jr. | Counselor | 1855 Kipling Dr, Dayton, OH 45406 | 2018-07-17 |
| 1114446937 | James Lee | Licensed Practical Nurse | 1687 Wesleyan Rd., Dayton, OH 45406 | 2017-09-13 |
| 1497280762 | Pam Taylor | Licensed Practical Nurse | 3339 Arlene Ave, Dayton, OH 45406 | 2017-04-25 |
| 1811428543 | Kimberly Hawkins | Licensed Practical Nurse | 3660 Pittsburg Ave, Dayton, OH 45406 | 2017-03-24 |
| 1760839187 | Micah Rejcek | Student in an Organized Health Care Education/Training Program | Five Rivers Family Health Center, 2261 Philadelphia Drive Suite 301, Dayton, OH 45406 | 2016-05-16 |
| 1134505233 | Julia Ahrns | Dietitian, Registered | 2261 Philadelphia Dr., Dayton, OH 45406 | 2015-07-31 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1518285337 | Johwanna Martin | Registered Nurse | 2055 Ravenwood Ave, Dayton, OH 45406 | 2010-05-05 |
| 1003051913 | Fawnette Thomas | Social Worker | 2116 University Place, Dayton, OH 45406 | 2008-12-05 |
| 1043478654 | Mvhe Inc | Hospitalist | 2661 Salem Ave Davue Building, Suite 220, Dayton, OH 45406 | 2008-05-30 |
| Find all providers in zip 45406 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506116 | Julie Ann Moster | Pharmacist | 1989 Miamisburg Centerville Rd Ste 101, Dayton, OH 45459-3858 | 2020-07-23 |
| 1063037182 | Sydney Schultz | Pharmacist | 1375 Soaring Heights Dr, Dayton, OH 45440-4313 | 2020-06-15 |
| 1942820048 | Alan Lee Adams | Pharmacist | 2916 Linden Ave # 3246, Dayton, OH 45410-3027 | 2020-04-20 |
| 1922637305 | Carrie Anne Snelling | Pharmacist | 1608 Sunnington Grove Dr, Dayton, OH 45458-6001 | 2020-04-07 |
| 1477181444 | Nathaniel Luce | Pharmacist | 1222 S Patterson Blvd Ste 110, Dayton, OH 45402-2643 | 2020-03-27 |
| 1851949002 | Michele Lee Northrup | Pharmacist | 108 N Main, Ste B, Dayton, TX 77535 | 2019-08-30 |
| 1578110003 | Kimberly Asson | Pharmacist | 108b N Main St, Dayton, TX 77535-2642 | 2019-08-20 |
| 1861045403 | Danielle L Polley | Pharmacist | 140 North Jefferson Street, Dayton, OH 45402-1555 | 2019-07-23 |
| 1720563398 | Rosemary Haubert | Pharmacist | 7619 Painted Turtle Dr, Dayton, OH 45414-1727 | 2018-09-30 |
| 1417447046 | Cynthia Sheppard Solomon | Pharmacist | 1075 W Rahn Rd, Dayton, OH 45429-2048 | 2018-05-18 |
| Find all providers in DAYTON | ||||
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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.