Active NPI
S & L Pharmacy Terrell Inc
- Community/Retail Pharmacy
- Terrell, TX
National Provider Identifier
1194123067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 30121
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148514 | Medicaid | TX | |
| 2149679 | Other | PK |
Other names 1
- Bass Rutledge Drug
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170905001269 | TX | Part B Supplier - Pharmacy | 5496028953 | Practice locations: Terrell, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2151459 | Bass Rutledge Drug | Certificate of waiver | Jul 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.