LEGACY DRUGSTORE
NPI 1003135195
Pharmacy - Community/Retail Pharmacy in Elizabeth, NJ

Active since May 28, 2010
400 S BROAD ST, ELIZABETH, NJ 07202(908) 352-0050(908) 352-0075 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legacy Drugstore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY DRUGSTORE (NPI 1003135195) is a healthcare organization registered as a community/retail pharmacy in Elizabeth, New Jersey and active in the NPI registry since May 2010. The organization lists Gurdine Soma, Pharmacist, Owner, as its authorized official.

NPPES Registry Identity

NPI1003135195
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLEGACY DRUGSTORE INC
Location Address400 S BROAD STElizabeth, NJ 07202-3502
Mailing Address400 S Broad StElizabeth, NJ 07202-3502 · (908) 352-0050 · Fax (908) 352-0075
Fax(908) 352-0075
Organization SubpartNo
Authorized OfficialGurdine SomaPharmacist, Owner · (908) 352-0050
Enumeration DateMay 28, 2010
Last NPPES UpdateFebruary 17, 2015
NPI 1003135195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NJ · 28RS00703600
Definition
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.
400 S BROAD ST, Elizabeth, NJ 07202

Other Names 1

Doing Business AsLegacy Drugstore

Other Identifiers 2

Other2125679Pk
Medicare NSC7194350001NJ

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
400 S BROAD ST
ELIZABETH, NJ 07202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Drugstore Inc's NPI number?

The NPI number for Legacy Drugstore Inc is 1003135195. It was assigned to this organization in the NPPES registry on May 28, 2010. The provider is doing business as Legacy Drugstore.

Where is Legacy Drugstore Inc located?

Legacy Drugstore Inc is located at 400 S Broad St, Elizabeth, NJ 07202. The listed phone number is (908) 352-0050.

What is Legacy Drugstore Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Legacy Drugstore Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Legacy Drugstore Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Drugstore Inc was last updated on February 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.