Organization Active NPI

Legacy Pharmacy Inc

Doing business as Square Deal Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1821730110
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LEGACY PHARMACY INC
Doing business as
Square Deal Pharmacy
Practice address
437 Mother Gaston Blvd
Brooklyn, NY 11212-7617
Phone
(718) 495-1414
Fax
(718) 495-1453
NPI assigned
Apr 8, 2022
Last updated
Apr 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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

Authorized official

Name
Muhammad I Khan
Title
President
Phone
(718) 495-1414

Specialties & licenses 1

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

Addresses

Primary practice location

437 Mother Gaston Blvd
Brooklyn, NY 11212-7617

Mailing address

437 Mother Gaston Blvd
Brooklyn, NY 11212-7617
Phone (718) 495-1414

Other names 1

  • SQUARE DEAL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220628000374 NY Part B Supplier - Pharmacy 9931588712 Practice locations: Brooklyn, NY
O20250912003643 NY DME Supplier - Pharmacy 9931588712 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Legacy Pharmacy Inc.437 Mother Gaston Blvd, Brooklyn, NY 11212-7617(718) 495-1414 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 24, 2022

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745107200000",
    "number": "1821730110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 MOTHER GASTON BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127617",
            "telephone_number": "718-495-1414",
            "fax_number": "718-495-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 MOTHER GASTON BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127617",
            "telephone_number": "718-495-1414",
            "fax_number": "718-495-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-495-1414"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SQUARE DEAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SQUARE DEAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.