Active NPI
Medic Pharmacy Inc
- Community/Retail Pharmacy
- Little Rock, AR
National Provider Identifier
1508972167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR20027
- Legal business name
- MEDIC PHARMACY INC
- Practice address
- 5901 W 12TH St
Little Rock, AR 72204-1608 - Phone
- (501) 664-3907
- Fax
- (501) 664-4491
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Michael B Rogers, PHARMD
- Title
- Pharmacist
- Phone
- (501) 664-3907
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Little Rock, AR
- NPI 1801526132
-
- Pharmacist
- Little Rock, AR
- NPI 1881230449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201110001693 | AR | Part B Supplier - Pharmacy | 5698893428 | Practice locations: Little Rock, AR |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | AR20027 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5901 W 12TH St
Little Rock, AR 72204-1608
Mailing address
5901 W 12TH St
Little Rock, AR 72204-1608
Phone (501) 664-3907
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400919 | Other | NABP | |
| 0542540001 | Other | AR | MEDICARE PTAN |
| 100020407 | Medicaid | AR |
Other names 1
NPPES NPI Registry- Medic Pharmacy Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2025.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748390400000",
"number": "1508972167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 W 12TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041608",
"telephone_number": "501-664-3907",
"fax_number": "501-664-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 W 12TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041608",
"telephone_number": "501-664-3907",
"fax_number": "501-664-4491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIC PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "501-664-3907",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AR",
"license": "AR20027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "0400919",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0542540001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100020407",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medic Pharmacy Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Little Rock, AR
- Medevolve
- Medexpress Primary Care Arkansas, P.a.
- Medexpress Urgent Care Arkansas, P.a.
- Medexpress Urgent Care Arkansas, PA
- Medic Pharmacy Inc
- Medic Rental Inc
- Medical Diagnostics of LR
- Medical Emergency Trauma Associates, PLLC
- Medical Hearing Associates of Arkansas, LLC
- Medical Hearing Associates of Arkansas, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.