Gray Pharm Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2609-IR Issued in LA

Legal business name

GRAY PHARM INC

Doing business as

Medicine Shoppe

Practice address

1510 S 2ND St
Monroe, LA 71202-2742

Phone

(318) 323-2883

Fax

(318) 323-8732

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Roger A Grayson, RPH

Title

Owner/Pharmacist

Phone

(318) 323-2883

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1477504033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S 2ND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022742",
            "telephone_number": "318-323-2883",
            "fax_number": "318-323-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S 2ND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022742",
            "telephone_number": "318-323-2883",
            "fax_number": "318-323-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY PHARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "318-323-2883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "2609-IR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "2609-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "1924489",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1260657",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gordon Gregory Grant IV, DC
• Hailey Graves
• Kaitlin Graves, LMSW
• White S Graves, D.O.
• White Solomon Graves IV, M.D.
• Gray Pharm Inc (The Pharmacy Shoppe)
• Gray Pharm Incorporated (The Pharmacy Shoppe)
• Brandi Gray
• Brynesha Lanette Gray, BSW, RSW
• Ella L Gray, LPC

• Community/Retail Pharmacy in Monroe, LA
• Providers in Monroe, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.