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SALMON PHARMACY, LLC
NPI 1013540814
Pharmacy - Community/Retail Pharmacy in Salmon, ID

Active since February 20, 2020CLIA 13D2203950 · Waiver
309 MAIN STREET, SALMON, ID 83467(208) 742-3784(208) 742-6363 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2020, Feb 20, 2020 (2 updates tracked since 2020).

About Salmon Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALMON PHARMACY, LLC (NPI 1013540814) is a healthcare organization registered as a community/retail pharmacy in Salmon, Idaho and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Eric Anderson, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1013540814
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSALMON PHARMACY, LLC
Location Address309 MAIN STREETSalmon, ID 83467
Mailing Address309 Main StreetSalmon, ID 83467 · (208) 742-3784 · Fax (208) 742-6363
Phone(208) 742-3784
Fax(208) 742-6363
Organization SubpartNo
Authorized OfficialEric AndersonOwner/pharmacist · (208) 742-3784
Enumeration DateFebruary 20, 2020
Last NPPES UpdateJuly 2, 20202 updates tracked since enumeration
NPPES CertifiedJuly 2, 2020
✔ NPI 1013540814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
309 MAIN STREET, Salmon, ID 83467
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Other Identifiers 1

Medicaid1013540814ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2203950

Salmon Pharmacy LLC · Salmon, ID
Active · expires Dec 6, 2026
CLIA Number13D2203950
Laboratory TypePharmacy
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorMichael Conger Pharmd
Laboratory Phone(208) 742-3784
Laboratory LocationSalmon Pharmacy LLC309 Main St, Salmon, ID 83467
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
153 services153 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
93 services93 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
45 services45 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Salmon Pharmacy, LLC's NPI number?

The NPI number for Salmon Pharmacy, LLC is 1013540814. It was assigned to this organization in the NPPES registry on February 20, 2020.

Where is Salmon Pharmacy, LLC located?

Salmon Pharmacy, LLC is located at 309 Main Street, Salmon, ID 83467. The listed phone number is (208) 742-3784.

What is Salmon Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Salmon Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2203950) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Salmon Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Salmon Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Salmon Pharmacy, LLC was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.