Cicily Young Song, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

61151 Issued in TX

Practice address

417 W Rock Island Ave
Boyd, TX 76023-3103

Phone

(940) 433-8056

NPI assigned

Oct 10, 2019

Last updated

Oct 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Salfiti Boyd Pharmacy, LLC

  dba Boyd Medicine Store

  • Community/Retail Pharmacy
  • Boyd, TX
  • NPI 1811249865
  NPD (past)
• Salfiti Springtown Pharmacy, LLC

  dba Dougherty's Pharmacy Springtown

  • Community/Retail Pharmacy
  • Springtown, TX
  • NPI 1285710319
  NPD (past)

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1043852114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 BLUFFS LN APT 14301",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511252",
            "telephone_number": "940-594-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W ROCK ISLAND AVE",
            "city": "BOYD",
            "state": "TX",
            "postal_code": "760233103",
            "telephone_number": "940-433-8056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 E McCart St",
            "address_purpose": "LOCATION",
            "city": "Krum",
            "state": "TX",
            "postal_code": "762495634",
            "country_code": "US",
            "telephone_number": "940-482-1972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Springtown",
            "state": "TX",
            "postal_code": "760822402",
            "country_code": "US",
            "telephone_number": "817-220-7927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "CICILY",
        "middle_name": "YOUNG",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "61151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Smiles - Boyd PLLC
• Kelli Moyer
• Deedra Denae Phipps
• Salfiti Boyd Pharmacy, LLC (Boyd Medicine Store)
• Jessica Jean Sanchez, RN, MSN, APRN, FNP-C
• James Michael Sowards, FNP-BC
• Joe David Tate, D.C.
• The Lactation Lady
• Teresa White, MS, LPC-A, NCC
• Michael Wunder, PHARMD

• Pharmacist in Boyd, TX
• Providers in Boyd, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.