Organization Active NPI

S & L Pharmacy Terrell Inc

  • Community/Retail Pharmacy
  • Terrell, TX
National Provider Identifier
1194123067
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30121 Issued in TX
Legal business name
S & L PHARMACY TERRELL INC
Practice address
601 W Moore Ave
Terrell, TX 75160-3123
Phone
(972) 563-3311
Fax
(972) 563-5808
NPI assigned
Dec 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Raja Salfiti
Title
President
Phone
(940) 627-5400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 30121 TX Primary

Addresses

Primary practice location

601 W Moore Ave
Terrell, TX 75160-3123

Mailing address

601 W. Moore Avenue
Terrell, TX 75160
Phone (972) 563-3311

Other identifiers 2

IdentifierTypeStateIssuer
148514MedicaidTX
2149679OtherPK

Other names 1

  • Bass Rutledge Drug Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170905001269 TX Part B Supplier - Pharmacy 5496028953 Practice locations: Terrell, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2151459Bass Rutledge Drug601 W Moore Ave, Terrell, TX 75160Certificate of waiverJul 18, 2028

National Provider Directory

National Provider Directory

Locations

601 W Moore Ave
Terrell, TX 75160
Phone (972) 563-3311

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1194123067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W. MOORE AVENUE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "75160",
            "telephone_number": "972-563-3311",
            "fax_number": "972-563-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MOORE AVE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751603123",
            "telephone_number": "972-563-3311",
            "fax_number": "972-563-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & L PHARMACY TERRELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SALFITI",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-627-5400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148514",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149679",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bass Rutledge Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.