Active NPI
Lee-Shah LLLP
Doing business as Legacy Pharmacy
- Community/Retail Pharmacy
- Fort Worth, TX
National Provider Identifier
1811291875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LEE-SHAH LLLP
- Doing business as
- Legacy Pharmacy
- Practice address
- 1307 8TH Ave
Suite 100
Fort Worth, TX 76104-4137 - Phone
- (817) 924-3200
- NPI assigned
- Jan 5, 2011
- 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
- Mr. Mayur Shah, RPH
- Title
- Owner/Pharmacist
- Phone
- (817) 524-5573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1307 8TH Ave
Suite 100
Fort Worth, TX 76104-4137
Mailing address
2106 Woodbine Cir
Southlake, TX 76092-3927
Phone (817) 524-5573
Other names 1
- Legacy Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294185600000",
"number": "1811291875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 WOODBINE CIR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760923927",
"telephone_number": "817-524-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 8TH AVE",
"address_2": "SUITE 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044137",
"telephone_number": "817-924-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE-SHAH LLLP",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-05",
"last_updated": "2011-01-05",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "MAYUR",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "817-524-5573",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.