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LEGACY DRUGSTORE
NPI 1396291837
Pharmacy - Community/Retail Pharmacy in Wright City, MO

Active since August 25, 2016
13000 VETERANS MEMORIAL PKWY, SUITE A, WRIGHT CITY, MO 63390(636) 791-1274(636) 791-1326 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2016, Aug 25, 2016 (2 updates tracked since 2016).

About Legacy Drugstore NPPES

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

LEGACY DRUGSTORE (NPI 1396291837) is a healthcare organization registered as a community/retail pharmacy in Wright City, Missouri and active in the NPI registry since August 2016. The organization lists Mitchell Graumenz, Pic, as its authorized official.

NPPES Registry Identity

NPI1396291837
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLEGACY DRUGSTORE LLC
Location Address13000 VETERANS MEMORIAL PKWY, SUITE AWright City, MO 63390-1041
Mailing Address13000 Veterans Memorial Pkwy, Suite AWright City, MO 63390-1041 · (636) 791-1274 · Fax (636) 791-1326
Phone(636) 791-1274
Fax(636) 791-1326
Organization SubpartNo
Authorized OfficialMitchell GraumenzPic · (618) 267-0574
Enumeration DateAugust 25, 2016
Last NPPES UpdateDecember 21, 20162 updates tracked since enumeration
✔ NPI 1396291837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 2016040867
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.
Also ListedPharmacyTaxonomy 333600000X
13000 VETERANS MEMORIAL PKWY, Wright City, MO 63390
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Other Names 1

Doing Business AsLegacy Drugstore

Other Identifiers 2

Other2163841Pk
Medicaid600037942MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services38 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
36 services36 patients

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 LLC's NPI number?

The NPI number for Legacy Drugstore LLC is 1396291837. It was assigned to this organization in the NPPES registry on August 25, 2016. The provider is doing business as Legacy Drugstore.

Where is Legacy Drugstore LLC located?

Legacy Drugstore LLC is located at 13000 Veterans Memorial Pkwy Suite A, Wright City, MO 63390. The listed phone number is (636) 791-1274.

What is Legacy Drugstore LLC'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 LLC 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 39 other insurers list Legacy Drugstore LLC 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 LLC was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.