NPIMap

Individual provider Active NPI

Samuel Ofosu Melfah, PHARMD.,PHC

  • Ambulatory Care Pharmacist
  • Horizon City, TX
National Provider Identifier
1043725443
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
45017 Issued in TX
Practice address
14476 Horizon Blvd Ste J
Horizon City, TX 79928-8579
Phone
(915) 852-8884
Fax
(915) 975-5893
NPI assigned
Dec 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 45017 TX
Pediatric Pharmacist 1835P0200X 45017 TX
Pharmacotherapy Pharmacist 1835P1200X 45017 TX
Psychiatric Pharmacist 1835P1300X 45017 TX
Ambulatory Care Pharmacist 1835P2201X 45017 TX Primary

Addresses

Primary practice location

14476 Horizon Blvd Ste J
Horizon City, TX 79928-8579

Mailing address

3416 Blazon Gold Way
El Paso, TX 79936-0674
Phone (915) 408-3475

Other practice location 1

1576 Lomaland Dr
El Paso, TX 79936
Phone (915) 595-0409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Servants Approach Consulting LLC Ambulatory Care CurrentSince Apr 24, 2020 Accepting new patients
Servants Heart Pharmacy LLC Current Accepting new patients
Roots Pharmacy LLC Current Accepting new patients

Locations

14476 Horizon Blvd
Ste J
Horizon City, TX 79928
Phone (915) 852-8884

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1043725443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 BLAZON GOLD WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360674",
            "telephone_number": "915-408-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14476 HORIZON BLVD STE J",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799288579",
            "telephone_number": "915-852-8884",
            "fax_number": "915-975-5893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1576 LOMALAND DR",
            "address_purpose": "LOCATION",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "country_code": "US",
            "telephone_number": "915-595-0409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELFAH",
        "first_name": "SAMUEL",
        "middle_name": "OFOSU",
        "name_prefix": "Dr.",
        "credential": "PHARMD.,PHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "45017",
            "primary": false
        },
        {
            "code": "1835P0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pediatrics",
            "state": "TX",
            "license": "45017",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TX",
            "license": "45017",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "TX",
            "license": "45017",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "TX",
            "license": "45017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horizon City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.