Organization Active NPI

Legacy RX

  • Ambulatory Care Pharmacist
  • Lawton, OK
National Provider Identifier
1881462398
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
Legal business name
LEGACY RX
Practice address
927 SW D Ave
Lawton, OK 73501-4530
Phone
(580) 699-8052
Fax
(580) 699-8057
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Henry Thai, PHARMDNPI 1346844834
Title
Pharmacist
Phone
(405) 924-0178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P2201X Primary

Addresses

Primary practice location

927 SW D Ave
Lawton, OK 73501-4530

Mailing address

927 SW D Ave
Lawton, OK 73501-4530
Phone (580) 699-8052

Other names 1

  • Legacy Rx Other name

National Provider Directory

National Provider Directory

Locations

927 SW D Ave
Lawton, OK 73501
Phone (580) 699-8052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1881462398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 SW D AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014530",
            "telephone_number": "580-699-8052",
            "fax_number": "580-699-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 SW D AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014530",
            "telephone_number": "580-699-8052",
            "fax_number": "580-699-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "405-924-0178",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Ambulatory Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Rx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.