Organization Active NPI

Salfiti Boyd Pharmacy, LLC

Doing business as Boyd Medicine Store

  • Community/Retail Pharmacy
  • Boyd, TX
National Provider Identifier
1811249865
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28261 Issued in TX
Legal business name
SALFITI BOYD PHARMACY, LLC
Doing business as
Boyd Medicine Store
Practice address
417 W Rock Island Ave
Boyd, TX 76023-3103
Phone
(940) 433-8056
NPI assigned
Oct 15, 2012
Last updated
Apr 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28261 TX Primary
Compounding Pharmacy 3336C0004X 28261 TX

Addresses

Primary practice location

417 W Rock Island Ave
Boyd, TX 76023-3103

Mailing address

417 W Rock Island Ave
Boyd, TX 76023-3103
Phone (940) 433-8056

Other names 1

  • Boyd Medicine Store Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241206003691 TX Part B Supplier - Pharmacy 2860928389 Practice locations: Boyd, TX

National Provider Directory

National Provider Directory

Locations

113 E Rock Island Ave
Boyd, TX 76023
Phone (940) 433-8056

417 W Rock Island Ave
Boyd, TX 76023
Phone (940) 433-8056

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boyd Medicine Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boyd, TX

Sources for this page

  • 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.