Organization Active NPI

Pharmacy 1920 LLC

Doing business as Whit's Pharmacy

  • Community/Retail Pharmacy
  • Bastrop, LA
National Provider Identifier
1073402665
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACY 1920 LLC
Doing business as
Whit's Pharmacy
Practice address
107 E Madison Ave
Bastrop, LA 71220-3823
Phone
(318) 281-2305
Fax
(318) 283-2033
NPI assigned
Jun 30, 2025
Last updated
Jun 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Mr. Raktim R Baruah, N/A
Title
President
Phone
(318) 880-7622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

107 E Madison Ave
Bastrop, LA 71220-3823

Mailing address

PO Box 860
Bastrop, LA 71221-0860
Phone (318) 880-7622

Other names 1

  • WHIT'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1073402665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210860",
            "telephone_number": "318-880-7622",
            "fax_number": "318-283-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MADISON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203823",
            "telephone_number": "318-281-2305",
            "fax_number": "318-283-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY 1920 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "BARUAH",
        "authorized_official_first_name": "RAKTIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-880-7622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHIT'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.