Individual provider Active NPI

Senahid Selimovic

  • Pharmacy
  • Dallas, TX
National Provider Identifier
1093535676
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
41742 Issued in TX
Practice address
5920 Forest Park Rd
Dallas, TX 75235-6411
Phone
(214) 654-9404
NPI assigned
Oct 16, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 41742 TX Primary

Addresses

Primary practice location

5920 Forest Park Rd
Dallas, TX 75235-6411

Mailing address

5920 Forest Park Rd
Dallas, TX 75235-6411

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41742TXMDPharmacy

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1093535676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 FOREST PARK RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 FOREST PARK RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356411",
            "telephone_number": "214-654-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIMOVIC",
        "first_name": "SENAHID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "41742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.