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LEGENDS PHARMACY II LP NPI 1972742195


NPI Information

NPI: 1972742195
Provider Name: LEGENDS PHARMACY II, LP

Doing Business As: LEGENDS PHARMACY II

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 45D2197278

Address:
1602 AVENUE D STE 500
KATY, TX
ZIP 77493
Phone: (281) 496-0640
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LEGENDS PHARMACY II, LP is a long term care pharmacy pharmacy in Katy, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. LEGENDS PHARMACY II, LP NPI is 1972742195. The provider is registered as an organization entity type.
The provider Is Doing Business As Legends Pharmacy Ii.

The provider's business location address is:

1602 AVENUE D STE 500
KATY, TX
ZIP 77493-646
Phone: (281) 496-0640
Fax: (844) 646-6562

The provider's authorized official is Angela D Dipaolo .
The authorized official title is Vp Of Pharmacy Operations and has the following contact phone number (210) 510-2692.

The CLIA number assigned to this NPI record is 45D2197278 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 3/5/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy26436TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1350222MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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