LEGACY DRUGSTORE INC (NPI# 1003135195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003135195 |
| Entity Type | Organization |
| Organization Name | LEGACY DRUGSTORE INC |
| Other Organization Name | LEGACY DRUGSTORE |
| Practice Address |
400 S Broad St Elizabeth NJ 07202-3502 |
| Practice Telephone | 9083520050 |
| Practice Fax Number | 9083520075 |
| Mailing Telephone | 9083520050 |
| Mailing Fax Number | 9083520075 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2015-02-17 |
| Authorized Official Name | GURDINE SOMA (PHARMACIST, OWNER) |
| Authorized Official Telephone | 9083520050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00703600 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2125679 | 01 |
| Other Name | Type Code |
|---|---|
| Legacy Drugstore | Doing Business As Name - Organization |
| Street Address |
400 S BROAD ST |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07202-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
| 1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
| 1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
| 1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
| 1679000921 | Jefferson Park Ministries, Inc | Day Training, Developmentally Disabled Services | 70 West Grand St, Elizabeth, NJ 07202 | 2017-05-17 |
| 1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
| 1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
| 1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
| 1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
| 1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
| Find all providers in zip 07202 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689204596 | Pmc Drugs LLC | Pharmacy | 702 Jersey Ave, Elizabeth, NJ 07202-1616 | 2020-01-20 |
| 1598221830 | Trucare Pharmacy Inc. | Pharmacy | 838 E. Grand St, Elizabeth, NJ 07201 | 2019-02-12 |
| 1073086047 | High Touch Pharmacy LLC | Pharmacy | 344 W Grand St, Elizabeth, NJ 07202-1202 | 2019-01-02 |
| 1972863587 | Take Care Pharmacy, LLC | Pharmacy | 182a Elmora Ave, Elizabeth, NJ 07202-2114 | 2012-05-17 |
| 1497050694 | Gauri Pharmacy Inc | Pharmacy | 605-607 S Broad St., Unit A, Elizabeth, NJ 07202 | 2011-01-19 |
| 1710027479 | Triputi Brothers LLC | Pharmacy | 570 N Broad St Ste D, Elizabeth, NJ 07208-4301 | 2007-02-08 |
| 1538207998 | Union Square Pharmacy | Pharmacy | 809 Elizabeth Ave, Elizabeth, NJ 07201-2708 | 2007-02-01 |
| 1316031727 | High Grounds Pharmacy | Pharmacy | 638 Bayway Ave, Elizabeth, NJ 07202-2613 | 2006-10-03 |
| 1699867168 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1000 South Elmora Ave Color Plz Space D, Elizabeth, NJ 07202 | 2006-09-29 |
| 1598868325 | New Jersey Cvs Pharmacy LLC | Pharmacy | 214 Rahway Ave, Elizabeth, NJ 07202-1902 | 2006-09-07 |
| Find all providers in ELIZABETH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.