Doughertys Pharmacy Legacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DOUGHERTYS PHARMACY LEGACY LLC

Practice address

6501 Legacy Dr Ste P
Plano, TX 75024-3612

Phone

(214) 884-1929

Fax

(214) 884-1931

NPI assigned

May 9, 2018

Last updated

May 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Pettit

Title

Director of Pharmacy Operations

Phone

(972) 860-0229

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dougherty's Pharmacy on Legacy Other name

Locations

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1154810760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 LEGACY DR STE P",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243612",
            "telephone_number": "214-884-1929",
            "fax_number": "214-884-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 LEGACY DR STE P",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243612",
            "telephone_number": "214-884-1929",
            "fax_number": "214-884-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGHERTYS PHARMACY LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "972-860-0229"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177616",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dougherty's Pharmacy on Legacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Auj Dossani, PA-C
• Kenneth Mike Dossett, DDS
• Evony Dotson
• Kristi Anna Dotson, PT, DPT
• Double C Enterprises, LLC (Home Instead)
• Douglas C. Smith, M.D., P.a.
• Douglas E Jopling
• James W Douglas, M.D.
• Mary Abigail Douglas, MS, LPC
• Reeti Douglas

• Community/Retail Pharmacy in Plano, TX
• Providers in Plano, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.