Salfiti Springtown Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30272 Issued in TX

Legal business name

SALFITI SPRINGTOWN PHARMACY, LLC

Doing business as

Dougherty's Pharmacy Springtown
Springtown Pharmacy

Practice address

209 W Highway 199 Ste 103
Springtown, TX 76082-2648

Phone

(817) 220-7927

Fax

(817) 220-1294

NPI assigned

Oct 31, 2006

Last updated

Apr 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raja SalfitiNPI 1770168676

Title

Managing Partner

Phone

(817) 532-6112

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 2

• DOUGHERTY'S PHARMACY SPRINGTOWN Doing business as
• Springtown Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raja Salfiti

  • Pharmacist
  • Decatur, TX
  • NPI 1770168676
  Authorized official Same address or phone
• John Park, PHARM.D.

  • Pharmacist
  • Sherman, TX
  • NPI 1922660802
  NPD (past)
• Cicily Young Song, PHARM.D

  • Pharmacist
  • Boyd, TX
  • NPI 1043852114
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1285710319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E MCCART ST STE C",
            "city": "KRUM",
            "state": "TX",
            "postal_code": "762495634",
            "telephone_number": "817-220-7927",
            "fax_number": "817-220-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W HIGHWAY 199 STE 103",
            "city": "SPRINGTOWN",
            "state": "TX",
            "postal_code": "760822648",
            "telephone_number": "817-220-7927",
            "fax_number": "817-220-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALFITI SPRINGTOWN PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "SALFITI",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "817-532-6112"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30272",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142416",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155734",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOUGHERTY'S PHARMACY SPRINGTOWN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springtown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rehab Mobility LLC
• Rehab Mobility PLLC
• Adrienne Krystyn Rodriguez, PTA
• Kelly K Rooker, RN, BSN
• Cecile Saglam
• Latisha Samuels, LPN
• Caroline Sandoval
• Jessica Scotch, APRN, FNP-C
• Shine on Counseling
• Aimee Lin Simington, NP-C

• Community/Retail Pharmacy in Springtown, TX
• Providers in Springtown, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.