LEGACY DRUGSTORE 2, LLC (NPI# 1295260818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295260818 |
Entity Type | Organization |
Organization Name | LEGACY DRUGSTORE 2, LLC |
Other Organization Name | LEGACY DRUGSTORE |
Practice Address |
609 State Highway 47 Suite B Warrenton MO 63383 |
Practice Telephone | 3146057340 |
Enumeration Date | 2017-04-21 |
Last Update Date | 2017-04-21 |
Authorized Official Name | JOHN HAMILTON (COMPLIANCE OFFICER) |
Authorized Official Telephone | 3146057340 |
Authorized Official Credential | RPH |
Is Organization Subpart | Y |
Parent Organization Name | LEGACY CIRCLE HOLDINGS LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
Legacy Drugstore | Doing Business As Name - Organization |
Street Address |
609 STATE HIGHWAY 47 SUITE B |
City | WARRENTON |
State | MO |
Zip Code | 63383 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215544861 | Amanda Rae Miller | Pharmacist | 701 North Highway 47, Warrenton, MO 63383 | 2020-09-28 |
1255837647 | Amanda Jean Hite | Physical Therapy Assistant | 1 Town and Country Marketplace, Warrenton, MO 63383 | 2018-04-04 |
1295281517 | Harbor Place Estates, LLC | Assisted Living Facility | 1054 S State Highway 47, Warrenton, MO 63383 | 2016-08-28 |
1811350630 | Megan Moore | Physical Therapist | 772 N. Hwy 47, Suite A, Warrenton, MO 63383 | 2016-03-30 |
1598125353 | Lauren Schumacher | Physical Therapist | 722 N. Highway 47, Suite A, Warrenton, MO 63383 | 2016-03-07 |
1427374230 | Our Urgent Care, LLC | Clinic/Center | 1343 North East Service Rd, Warrenton, MO 63383 | 2010-04-19 |
1235397183 | Paul J Dooley Dds PC | Dentist | 708 Steinhagen, Warrenton, MO 63383 | 2008-05-28 |
1699975995 | Joshua Douglas Sharp | Chiropractor | 704 North State Hwy 47, Warrenton, MO 63383 | 2007-07-24 |
1083827075 | Thomas William Cox | Physical Therapy Assistant | 65 State Hwy. Aa, Warrenton, MO 63383 | 2007-05-07 |
1881752640 | Kathleen M Blondin | Social Worker | 404 E Booneslick, Ste B, Warrenton, MO 63383 | 2006-12-05 |
Find all providers in zip 63383 |
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 |
---|---|---|---|---|
1679093645 | Community Health Care Systems, Inc | Pharmacy | 1008 Atlanta Highway, Chcs, Inc Pharmacy, Warrenton, GA 30828 | 2017-06-21 |
1255757506 | Wecare Pharmacy LLC | Pharmacy | 516 Fletcher Dr, Warrenton, VA 20186 | 2014-03-11 |
1831532944 | Futrell Pharmacy Service, Inc | Pharmacy | 108b S. Main Street, Warrenton, NC 27589 | 2013-04-09 |
1669705992 | Costco Wholesale Corporation | Pharmacy | 1804 Se Ensign Ln, Warrenton, OR 97146 | 2009-09-18 |
1568604742 | Harris Teeter, LLC | Pharmacy | 530 Fletcher Dr., Warrenton, VA 20186 | 2009-04-02 |
1114109725 | Walgreen Co | Pharmacy | 701 N Hwy 47, Warrenton, MO 63383-1119 | 2007-12-05 |
1225132988 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 510 Blackwell Rd, Warrenton, VA 20186-2600 | 2006-09-12 |
1912912973 | Walgreen Co | Pharmacy | 276 W Lee Hwy, Warrenton, VA 20186-2501 | 2006-07-29 |
1427014802 | Fulghum-carr Drug Co. Inc. | Pharmacy | 466 Main St, Warrenton, GA 30828-8108 | 2006-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
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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.