Organization Active NPI

Legacy Infusion Services, LLC

  • Home Infusion Agency
  • West Chester, OH
National Provider Identifier
1164741377
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
LEGACY INFUSION SERVICES, LLC
Practice address
9969 Cincinnati Dayton Rd
West Chester, OH 45069-3823
Phone
(937) 384-3873
Fax
(513) 942-2846
NPI assigned
May 27, 2010
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Mr. William S. Herdtner
Title
VP, Finance and Cfo
Phone
(513) 576-0262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU Primary
Home Infusion Therapy Pharmacy 3336H0001X 022051200 OH

Addresses

Primary practice location

9969 Cincinnati Dayton Rd
West Chester, OH 45069-3823

Mailing address

1700 Edison Dr
Suite 300
Milford, OH 45150-2729
Phone (513) 576-0262

Other identifiers 1

IdentifierTypeStateIssuer
3134101MedicaidOH

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1700 Edison Dr
Milford, OH 45150

9969 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (937) 384-3873

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1164741377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 EDISON DR",
            "address_2": "SUITE 300",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502729",
            "telephone_number": "513-576-0262",
            "fax_number": "513-576-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9969 CINCINNATI DAYTON RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693823",
            "telephone_number": "937-384-3873",
            "fax_number": "513-942-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY INFUSION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "HERDTNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VP, FINANCE AND CFO",
        "authorized_official_telephone_number": "513-576-0262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "OH",
            "license": "022051200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3134101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.