SALEM CLINIC PHARMACY INC (NPI# 1669566170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669566170 |
| Entity Type | Organization |
| Organization Name | SALEM CLINIC PHARMACY INC |
| Other Organization Name | CLINIC PHARMACY OF KY |
| Practice Address |
141 Hospital Dr Salem KY 42078-8043 |
| Mailing Address |
Po Box 498 Salem KY 42078-0498 |
| Practice Telephone | 2709883230 |
| Practice Fax Number | 2709884230 |
| Mailing Telephone | 2709883230 |
| Mailing Fax Number | 2709884230 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-09-04 |
| Authorized Official Name | MICHAEL KELLER (OWNER,PIC,AO) |
| Authorized Official Telephone | 2709883230 |
| Authorized Official Credential | RPH |
| 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 | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P06918 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 4554139800 | 05 | |
| KY | 54017165 | 05 | |
| KY | 7100171870 | 05 | |
| PK | 2029123 | 01 | |
| KY | 9001070300 | 05 |
| Other Name | Type Code |
|---|---|
| CLINIC PHARMACY OF KY | Doing Business As Name - Organization |
| Street Address |
141 HOSPITAL DR |
| City | SALEM |
| State | KY |
| Zip Code | 42078-8043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184730 | Demetrius L Patton | Specialist | 141 Hospital Dr, Salem, KY 42078-8043 | 2005-06-16 |
| 1538696356 | Justin J Lewis | Occupational Therapy Assistant | 141 Hospital Dr, Ste 102, Salem, KY 42078-8043 | 2017-05-11 |
| 1558784769 | Kristee Croft Shoulders | Registered Nurse | 141 Hospital Dr, Salem, KY 42078-8043 | 2014-01-23 |
| 1649430778 | Terry W Boone | Physician Assistant | 141 Hospital Dr, Salem, KY 42078-8043 | 2008-06-12 |
| 1902822661 | Deborah B Dutton | Nurse Practitioner | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-07-14 |
| 1538127378 | Ghassan Yazigi | Family Medicine | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-05-02 |
| 1396708566 | James Todd Bergin | Specialist | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-04-10 |
| 1669442620 | Michael Philip Gavin | Surgery | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-01-24 |
| 1588644496 | Tri-rivers Healthcare Pllc | Physician Assistant | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760523120 | Shannon Federico | Pharmacist | 119 East Main St., Salem, KY 42078 | 2007-02-09 |
| 1730275892 | Michael L Keller | Pharmacist | 141 Hospital Drive, Salem, KY 42078 | 2006-10-05 |
| 1629597638 | Misty Jones Turmero | Pharmacist | 119 East Main St., Salem, KY 42078 | 2017-09-12 |
| 1740689876 | Codie L Parks | Pharmacist | 131 Hospital Drive, Salem, KY 42078 | 2014-08-14 |
| 1265481022 | Crittenden County Hospital | Clinic/Center | 117 E Main St, Salem, KY 42078 | 2006-05-09 |
| 1891859799 | R V Bharne Psc | Family Medicine | 501 N Hayden Avenue, Salem, KY 42078-0376 | 2006-12-22 |
| 1215072020 | Bradley A Boone | Pharmacist | 141hospital Dr, Clinic Pharmacy, Salem, KY 42078-0498 | 2007-02-20 |
| 1073162475 | Lori Guill | Speech-Language Pathologist | 508 N Hayden Ave, Salem, KY 42078-8008 | 2019-09-09 |
| 1366543837 | Orion Salem LLC | Skilled Nursing Facility | 509 N Hayden Ave, Salem, KY 42078-8008 | 2006-09-26 |
| 1023326436 | Lifeline Homecare of Salem LLC | Clinic/Center | 503 E Main St, Salem, KY 42078-8033 | 2010-09-20 |
| Find all providers in zip 42078 | ||||
| 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.