Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Medic Pharmacy of Bastrop

Customized Equipment (DME) in Bastrop, LA · enumerated 2006 · authorized official William Grayson, Owner/President/Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205815800

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Registry record

Entity type Organization (Type 2)

Legal business name Medic Pharmacy of Bastrop

Practice address 1821 N Washington St, Bastrop, LA, 71220

Phone (318) 281-3291

Fax (318) 281-3292

Enumeration date Jan 11, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

332BC3200X Customized Equipment (DME) Suppliers · License 0304220001 (LA) Primary

Authorized official

Name William Grayson

Title Owner/President/Pharmacist

Phone (318) 281-3291

Other identifiers

Identifier	Type	State	Issuer
C5068	Other	LA	BLUE CROSS BLUE SHIELD OF
1533611	Medicaid	LA	-
1903649	Other	LA	NAPB

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Medic Pharmacy of Bastrop located?

The practice location on file with NPPES is in Bastrop, LA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Specialty Pharmacy Services Inc Pharmacist · Bastrop, LA NPI 1619956216

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.