Legends Pharmacy III Services LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LEGENDS PHARMACY III SERVICES LLC

Practice address

6601 Blanco Rd Ste 125
San Antonio, TX 78216-6105

Phone

(210) 735-2323

Fax

(210) 735-2324

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Angela Persyn, PHARMD

Title

VP of Operations

Phone

(210) 842-5274

Specialties & licenses 2

Addresses

Other names 1

• LEGENDS PHARMACY III Doing business as

Tax ID family

Albuquerque Pharmacy2 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.

• Legends Pharmacy III Services LLC

  • Long Term Care Pharmacy
  • Albuquerque, NM
  • NPI 1982753232
  NPD tax ID

Locations

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1376300368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 BLANCO RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166105",
            "telephone_number": "210-510-2692",
            "fax_number": "210-736-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 BLANCO RD STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166105",
            "telephone_number": "210-735-2323",
            "fax_number": "210-735-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Louisiana Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871082051",
            "country_code": "US",
            "telephone_number": "505-262-5728",
            "fax_number": "844-646-6561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGENDS PHARMACY III SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "PERSYN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "210-842-5274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEGENDS PHARMACY III",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEGENDS PHARMACY III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.