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DR. MATT EDRICK C. BACTAD PHARM.D.
NPI 1164022190
Pharmacist in Lufkin, TX

Active since October 28, 2020
407 N BRENTWOOD, LUFKIN, TX 75904(936) 639-1748(936) 639-1750 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matt Edrick C. Bactad Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATT EDRICK C. BACTAD PHARM.D. (NPI 1164022190) is an individual pharmacist in Lufkin, Texas, licensed in Texas (63709) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1164022190
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. MATT EDRICK C. BACTADCredential: PHARM.D.
Location Address407 N BRENTWOODLufkin, TX 75904-7126
Mailing Address407 N BrentwoodLufkin, TX 75904-7126 · (936) 639-1748 · Fax (936) 639-1750
Phone(936) 639-1748
Fax(936) 639-1750
Sole ProprietorYes
Enumeration DateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1164022190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TX · 63709
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
407 N BRENTWOOD, Lufkin, TX 75904
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
407 N BRENTWOOD
LUFKIN, TX 75904
Angelina County (936) 639-1748
DR. KELLY L YARBOROUGH PHARMD
Pharmacist (Ambulatory Care)
407 N BRENTWOOD
LUFKIN, TX 75904
Angelina County (936) 639-1748
ASHLAND KING
Pharmacist
407 N BRENTWOOD
LUFKIN, TX 75904
Angelina County (936) 639-1748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matt Edrick Bactad's NPI number?

The NPI number for Matt Edrick Bactad is 1164022190. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Matt Edrick Bactad located?

Matt Edrick Bactad practices at 407 N Brentwood, Lufkin, TX 75904. The listed phone number is (936) 639-1748.

What is Matt Edrick Bactad's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Matt Edrick Bactad was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.