LEGACY COMPOUNDING INC.
NPI 1144733072
Pharmacy - Compounding Pharmacy in Decatur, AL

Active since November 14, 2017
2422 DANVILLE RD SW STE H, DECATUR, AL 35603(256) 353-1123(256) 280-3551 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2018, Apr 30, 2018, Nov 14, 2017 (3 updates tracked since 2017).

About Legacy Compounding Inc. NPPES

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

LEGACY COMPOUNDING INC. (NPI 1144733072) is a healthcare organization registered as a compounding pharmacy in Decatur, Alabama and active in the NPI registry since November 2017. The organization lists Samuel Costello, Pharmacist-in Charge, as its authorized official.

NPPES Registry Identity

NPI1144733072
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameLEGACY COMPOUNDING INC
Location Address2422 DANVILLE RD SW STE HDecatur, AL 35603-4221
Mailing Address2422 Danville Rd Sw Ste HDecatur, AL 35603-4221 · (256) 353-1123 · Fax (256) 280-3551
Fax(256) 280-3551
Organization SubpartNo
Authorized OfficialSamuel CostelloPharmacist-in Charge · (256) 353-1123
Enumeration DateNovember 14, 2017
Last NPPES UpdateJuly 19, 20183 updates tracked since enumeration
NPI 1144733072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License Licensed in AL · 114750
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2422 DANVILLE RD SW STE H, Decatur, AL 35603

Other Names 1

Doing Business AsLegacy Compounding Inc.

Other Identifiers 2

Medicaid1144733072AL
Other2171878Pk

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies
2422 DANVILLE RD SW STE H
DECATUR, AL 35603

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 Compounding Inc's NPI number?

The NPI number for Legacy Compounding Inc is 1144733072. It was assigned to this organization in the NPPES registry on November 14, 2017. The provider is doing business as Legacy Compounding Inc..

Where is Legacy Compounding Inc located?

Legacy Compounding Inc is located at 2422 Danville Rd SW Ste H, Decatur, AL 35603. The listed phone number is (256) 353-1123.

What is Legacy Compounding Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Legacy Compounding Inc was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.