Palace Drug of Salem LLC
NPI 1922418615ActiveOrganization· Pharmacy· Salem, AR
Pharmacy in Salem, Arkansas, registered in NPPES in May 2014. The authorized official on file is Sarah Clark, Member/Owner. Medicare paid $13,374 for services to 74 patients in 2024.
Overview
| NPI | 1922418615 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 2, 2014 |
| Last updated in NPPES | Apr 8, 2025 |
| Certified by provider | Apr 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | AR05957 | AR |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (AR); Part B Supplier - Mass Immunization (Roster Biller Only) (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 74 |
|---|---|
| Services billed | 212 across 8 procedure codes |
| Paid by Medicare | $13,374 |