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LEGACY DRUG
NPI 1780659755
Pharmacy - Community/Retail Pharmacy in Pauls Valley, OK

Active since February 22, 2006
111 W GRANT AVE, PAULS VALLEY, OK 73075(405) 238-3305(405) 238-3307 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2020, Feb 20, 2017 (2 updates tracked since 2017).

About Legacy Drug NPPES

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

LEGACY DRUG (NPI 1780659755) is a healthcare organization registered as a community/retail pharmacy in Pauls Valley, Oklahoma and active in the NPI registry since February 2006. The organization lists Jullie Justice, Contracting, as its authorized official.

NPPES Registry Identity

NPI1780659755
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLEGACY PHARMACY, LLC
Location Address111 W GRANT AVEPauls Valley, OK 73075-3257
Mailing Address111 W Grant AvePauls Valley, OK 73075-3257 · (405) 238-3305 · Fax (405) 238-3307
Phone(405) 238-3305
Fax(405) 238-3307
Organization SubpartNo
Authorized OfficialJullie JusticeContracting · (405) 447-3911
Enumeration DateFebruary 22, 2006
Last NPPES UpdateMay 6, 20202 updates tracked since enumeration
NPPES CertifiedMay 6, 2020
✔ NPI 1780659755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
111 W GRANT AVE, Pauls Valley, OK 73075
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Other Names 1

Doing Business AsLegacy Drug

Other Identifiers 2

Medicaid200135440BOK
Other2074447Pk

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 ›

Other Providers at the Same Location NPPES 2

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

EMILY SMITH D.PH
Pharmacist
111 W GRANT AVE
PAULS VALLEY, OK 73075
Garvin County (405) 238-3305
LEGACY DRUG
Pharmacy (Community/Retail Pharmacy)
111 W GRANT AVE
PAULS VALLEY, OK 73075
Garvin County (405) 238-3305

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 Pharmacy, LLC's NPI number?

The NPI number for Legacy Pharmacy, LLC is 1780659755. It was assigned to this organization in the NPPES registry on February 22, 2006. The provider is doing business as Legacy Drug.

Where is Legacy Pharmacy, LLC located?

Legacy Pharmacy, LLC is located at 111 W Grant Ave, Pauls Valley, OK 73075. The listed phone number is (405) 238-3305.

What is Legacy Pharmacy, 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 Pharmacy, 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 50 other insurers list Legacy Pharmacy, 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 Pharmacy, LLC was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.