Legacy Pharmacy Oc LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LEGACY PHARMACY OC LLC

Practice address

921 Town Center Dr Ste 100
Orange City, FL 32763-8266

Phone

(386) 218-4993

Fax

(386) 218-4913

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Diptiben Smart

Title

Pharmacy Manager

Phone

(386) 218-4993

Specialties & licenses 1

Addresses

Other names 1

• Legacy Pharmacy OC Doing business as

Tax ID family

Legacy Pharmacy Oc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy Pharmacy Oc LLC

  • Community/Retail Pharmacy
  • Orange City, FL
  • NPI 1487098513
  NPD tax ID

Locations

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1154101731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 TOWN CENTER DR STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638266",
            "telephone_number": "386-218-4993",
            "fax_number": "386-218-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 TOWN CENTER DR STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638266",
            "telephone_number": "386-218-4993",
            "fax_number": "386-218-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PHARMACY OC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "DIPTIBEN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "386-218-4993"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Pharmacy OC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher John Lechmaier, D.C.
• Tricia Keelan Lechmaier, D.C.
• Anzen U. Lee, CRNA
• Victor Kwok Hung Lee, PHARM.D.
• Traci Lefferts
• Legacy Pharmacy Oc LLC
• Guylaine Legault, ARNP
• Marissa Lemay, PTA
• Ashley Danielle Lenzen
• Lisa Marie Lepine, PT, DPT

• Long Term Care Pharmacy in Orange City, FL
• Providers in Orange City, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.