Active NPI
Salem Elfarra
- Pharmacist
- New Berlin, WI
National Provider Identifier
1669289815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22938
- Practice address
- 3855 S Moorland Rd
New Berlin, WI 53151-5225 - Phone
- (502) 715-0029
- NPI assigned
- Dec 11, 2024
- Last updated
- Mar 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22938 | WI | Primary |
Addresses
Primary practice location
3855 S Moorland Rd
New Berlin, WI 53151-5225
Mailing address
3855 S Moorland Rd
New Berlin, WI 53151-5225
Phone (262) 784-4992
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22938 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3855 S Moorland Rd
New Berlin, WI 53151
Phone (262) 784-4992
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1669289815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3855 S MOORLAND RD",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531515225",
"telephone_number": "262-784-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 S MOORLAND RD",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531515225",
"telephone_number": "502-715-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELFARRA",
"first_name": "SALEM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-11",
"last_updated": "2025-03-06",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "22938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.