Active NPI
Legacy Pharmacy Oc LLC
Doing business as Legacy Pharmacy OC
- Long Term Care Pharmacy
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- LEGACY PHARMACY OC LLC
- Doing business as
- Legacy Pharmacy OC
- 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
- Last updated
- Oct 4, 2023
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
921 Town Center Dr Ste 100
Orange City, FL 32763-8266
Mailing address
921 Town Center Dr Ste 100
Orange City, FL 32763-8266
Phone (386) 218-4993
Other names 1
- Legacy Pharmacy OC
National Provider Directory
National Provider Directory- Tax ID family
- Legacy Pharmacy Oc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba legacy pharmacy oc
- Community/Retail Pharmacy
- Orange City, FL
- NPI 1487098513
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Orange City, FL
- NPI 1497347546
NPI Registry JSON
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"
}
]
}Other providers in Orange City, FL
Sources for this page
- 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.