Active NPI
Salfiti Wichita Falls Pharmacy Inc.
- Pharmacy
- Wichita Falls, TX
National Provider Identifier
1285185249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 13548
- Legal business name
- SALFITI WICHITA FALLS PHARMACY INC.
- Practice address
- 1013 Brook Ave
Wichita Falls, TX 76301-5006 - Phone
- (940) 723-7145
- Fax
- (940) 322-7062
- NPI assigned
- Oct 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raja Salfiti
- Title
- Owner/Pharmacist
- Phone
- (817) 532-6112
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 13548 | TX | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1013 Brook Ave
Wichita Falls, TX 76301-5006
Mailing address
1101 W Eagle Dr
Suite C
Decatur, TX 76234-3721
Phone (940) 627-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2164292 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171016003515 | TX | Part B Supplier - Pharmacy | 2668748815 | Practice locations: Wichita Falls, TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Wichita Falls, TX
- NPI 1205164910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522108800000",
"number": "1285185249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W EAGLE DR",
"address_2": "SUITE C",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343721",
"telephone_number": "940-627-5400",
"fax_number": "940-627-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015006",
"telephone_number": "940-723-7145",
"fax_number": "940-322-7062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALFITI WICHITA FALLS PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-14",
"last_updated": "2018-03-27",
"status": "A",
"authorized_official_last_name": "SALFITI",
"authorized_official_first_name": "RAJA",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "817-532-6112"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "13548",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2164292",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.