NPIMap

Organization Active NPI

Legacy Community Health Services, Inc

Doing business as Legacy Community Health Services

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1154847515
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31489 Issued in TX
Legal business name
LEGACY COMMUNITY HEALTH SERVICES, INC
Doing business as
Legacy Community Health Services
Legacy Community Health Services Pharmacy Lyons
Practice address
3811 Lyons Avenue
Suite 114
Houston, TX 77020
Phone
(713) 366-7400
Fax
(713) 559-3269
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Karen Gurwitch
Title
Vice President
Phone
(713) 826-9866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 31489 TX Primary

Addresses

Primary practice location

3811 Lyons Avenue
Suite 114
Houston, TX 77020

Mailing address

3811 Lyons Ave
Suite 114
Houston, TX 77020
Phone (713) 366-7400

Other names 2

  • Legacy Community Health Services Doing business as
  • Legacy Community Health Services Pharmacy Lyons Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190516000173 TX Part B Supplier - Pharmacy 7911969092 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX
O20250514000470 TX Part B Supplier - Mass Immunization (Roster Biller Only) 7911969092 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Montrose Clinic Inc77 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

3811 Lyons Ave
Ste 114
Houston, TX 77020
Phone (713) 366-7400

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1154847515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 LYONS AVE",
            "address_2": "SUITE 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77020",
            "telephone_number": "713-366-7400",
            "fax_number": "713-559-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 LYONS AVENUE",
            "address_2": "SUITE 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77020",
            "telephone_number": "713-366-7400",
            "fax_number": "713-559-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COMMUNITY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "GURWITCH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "713-826-9866"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Community Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Community Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Community Health Services Pharmacy Lyons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.

Verify at the official NPI Registry.