Legacy Drugstore Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH27303 Issued in FL

Legal business name

LEGACY DRUGSTORE CORP.

Practice address

4700 NW 7TH St
1
Miami, FL 33126-2252

Phone

(305) 443-3555

Fax

(305) 443-3522

NPI assigned

Dec 19, 2013

Organization subpart

No

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

Authorized official

Name

Azarahi Cardoso-Galvez

Title

President

Phone

(305) 443-3555

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LEGACY DRUGSTORE Doing business as

Locations

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1841611779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 NW 7TH ST",
            "address_2": "1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262252",
            "telephone_number": "305-443-3555",
            "fax_number": "305-443-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 NW 7TH ST",
            "address_2": "1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262252",
            "telephone_number": "305-443-3555",
            "fax_number": "305-443-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY DRUGSTORE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "CARDOSO-GALVEZ",
        "authorized_official_first_name": "AZARAHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-443-3555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEGACY DRUGSTORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Lees, ARNP
• Frank Lefevre, MD
• Wisly Lefevre, RT
• Jose Rodolfo Lega, MD
• Legacy Alf LLC
• Legacy Healthcare Services Inc
• Legacy Home Care Services
• Legacy Home Care Services, LLC Dba Granny Nannies
• Legacy Medical Center LLC
• Legacy Midwifery, LLC

• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.