Salfiti Boyd Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28261 Issued in TX

Legal business name

SALFITI BOYD PHARMACY, LLC

Practice address

417 W Rock Island Ave
Boyd, TX 76023-3103

Phone

(940) 433-8056

NPI assigned

Oct 15, 2012

Organization subpart

No

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

Authorized official

Name

Raja Salfiti

Title

Managing Partner

Phone

(817) 532-6112

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Boyd Medicine Store Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Terri L Bullard, PHARMD

  • Pharmacist
  • Boyd, TX
  • NPI 1780157784
  NPD (past)
• Scott Lane Harvey

  • Pharmacist
  • Hurst, TX
  • NPI 1003478439
  NPD (past)
• Christina Kay Love, RPH

  • Pharmacist
  • Boyd, TX
  • NPI 1821798059
  NPD (past)
• Cicily Young Song, PHARM.D

  • Pharmacist
  • Boyd, TX
  • NPI 1043852114
  NPD (past)
• Michael Wunder, PHARMD

  • Pharmacist
  • Boyd, TX
  • NPI 1750777306
  NPD (past)

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1811249865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W ROCK ISLAND AVE",
            "city": "BOYD",
            "state": "TX",
            "postal_code": "760233103",
            "telephone_number": "940-433-8056",
            "fax_number": "940-433-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W ROCK ISLAND AVE",
            "city": "BOYD",
            "state": "TX",
            "postal_code": "760233103",
            "telephone_number": "940-433-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALFITI BOYD PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28261",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "28261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149946",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boyd Medicine Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Markulec, LPC-A
• Michelle Davila DDS, PC
• James Dillon Moore, FNP
• Lauren Hailey Morton, NP-C
• Deedra Denae Phipps
• Jessica Jean Sanchez, RN, MSN, APRN, FNP-C
• Cicily Young Song, PHARM.D
• James Michael Sowards, FNP-BC
• Joe David Tate, D.C.
• The Lactation Lady

• All providers in Boyd, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.