Organization Active NPI

Salfiti Wichita Falls Pharmacy Inc.

  • Pharmacy
  • Wichita Falls, TX
National Provider Identifier
1285185249
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
13548 Issued in TX
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

Updated by the provider on Mar 27, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2164292OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171016003515 TX Part B Supplier - Pharmacy 2668748815 Practice locations: Wichita Falls, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.