OrganizationActive
South Salem Apothecary LLC
NPI 1063756393 · Community/Retail Pharmacy · Salem, OR
South Salem Apothecary LLC is a Community/Retail Pharmacy organization in Salem, OR (NPI 1063756393).
Provider details
- NPI number
- 1063756393
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Diana Courtney, Owner(503) 967-2405
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
990 Commercial St Se
Salem, OR 97302-4110
Phone: (503) 967-2405
Fax: (503) 217-7940
Street-level locationGet directions
Mailing address
990 Commercial St Se
Salem, OR 97302-4110
Other names (DBA / former)
- Doing business as
- South Salem Apothecary
Registry dates
- Enumerated
- 2012-11-27
- Last updated
- 2013-03-19
Frequently asked questions
- What is South Salem Apothecary LLC's NPI number?
- South Salem Apothecary LLC's National Provider Identifier (NPI) is 1063756393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Salem Apothecary LLC?
- South Salem Apothecary LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is South Salem Apothecary LLC located?
- South Salem Apothecary LLC's practice location on file with NPPES is 990 Commercial St Se, Salem, OR 97302-4110.
- What is South Salem Apothecary LLC's phone number?
- The practice phone number listed in the NPPES registry for South Salem Apothecary LLC is (503) 967-2405.
- Who is the authorized official for South Salem Apothecary LLC?
- The authorized official listed on South Salem Apothecary LLC's NPPES record is Diana Courtney, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Salem Apothecary LLC's NPI active?
- Yes — South Salem Apothecary LLC's NPI (1063756393) is active in the NPPES registry as of the last update on 2013-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.