LEGACY PHARM VENTURES LLC (NPI# 1801232947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801232947 |
| Entity Type | Organization |
| Organization Name | LEGACY PHARM VENTURES LLC |
| Other Organization Name | JACOBS FAMILY PHARMACY |
| Practice Address |
2701 Austin Ave Brownwood TX 76801-5834 |
| Practice Telephone | 3256462322 |
| Practice Fax Number | 3256462322 |
| Mailing Telephone | 3256461100 |
| Mailing Fax Number | 3256461104 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2014-01-06 |
| Authorized Official Name | TIM JACOBS (PHARMACIST/OWNER) |
| Authorized Official Telephone | 3256477093 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28554 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2138803 | 01 |
| Other Name | Type Code |
|---|---|
| Jacobs Family Pharmacy | Doing Business As Name - Organization |
| Street Address |
2701 AUSTIN AVE |
| City | BROWNWOOD |
| State | TX |
| Zip Code | 76801-5834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147115 | John Timothy Jacobs | Pharmacist | 2701 Austin Ave, Brownwood, TX 76801-5834 | 2005-07-14 |
| 1487955035 | Susan Marie Gould | Pharmacist | 2701 Austin Ave, Brownwood, TX 76801-5834 | 2010-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902388374 | Jessica Moreno | Licensed Vocational Nurse | 1401 Indian Creek Dr, Brownwood, TX 76801 | 2018-09-03 |
| 1801314232 | Patrick M. Padgett | Hearing Instrument Specialist | 2510 Crockett Dr. Ste. A, Brownwood, TX 76801 | 2017-09-06 |
| 1376061911 | Alisandra Margaret Dirickson | Physician Assistant | 101 A South Park Drive, Brownwood, TX 76801 | 2017-09-05 |
| 1629441654 | Hennepin Dialysis LLC | Clinic/Center | 2511 Crockett Dr, Brownwood, TX 76801 | 2015-11-13 |
| 1164893889 | Shannon Lynn Young Delacruz | Nurse Practitioner | 302 E Commerce, Brownwood, TX 76801 | 2015-10-08 |
| 1295125821 | David George Curtis | General Practice | 611 Fm 3254, Brownwood, TX 76801 | 2015-02-04 |
| 1619371374 | Sanketkumar Parikh | Pharmacist | 200 West Commerce Street, 377 Villas, Brownwood, TX 76801 | 2014-10-09 |
| 1144621384 | Timothy Leon Taylor | Counselor | 408 Mulberry St., Brownwood, TX 76801 | 2014-09-08 |
| 1851667521 | Lee Healthcare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 118 B Southpark Dr., Brownwood, TX 76801 | 2012-03-28 |
| 1619261302 | Ginger Rebecca Smith | Counselor | 408 Mulberry, Brownwood, TX 76801 | 2011-05-31 |
| Find all providers in zip 76801 | ||||
| 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 |
|---|---|---|---|---|
| 1639276132 | Cvs Pharmacy Inc | Pharmacy | 100 E Commerce St, Brownwood, TX 76801-1801 | 2006-09-20 |
| 1982708764 | Cvs Pharmacy Inc | Pharmacy | 1319 Austin Ave, Brownwood, TX 76801-3312 | 2006-09-12 |
| 1689788671 | Dennis W Helbert | Pharmacy | 3707 Austin Ave, Brownwood, TX 76801-6626 | 2006-08-18 |
| 1881071512 | United Supermarkets LLC | Pharmacy | 300 E Commerce St, Brownwood, TX 76801-1824 | 2015-05-01 |
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| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.