LEGACY PARK DISCOUNT PHARMACY (NPI# 1770870628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770870628 |
| Entity Type | Organization |
| Organization Name | LEGACY PARK DISCOUNT PHARMACY |
| Other Organization Name | LEGACY PHARMACY |
| Practice Address |
10967 Lake Underhill Rd Orlando FL 32825-4457 |
| Practice Telephone | 4077307989 |
| Practice Fax Number | 4077307995 |
| Mailing Telephone | 4077307989 |
| Mailing Fax Number | 4077307995 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |
| Authorized Official Name | MR. ASHISHKUMAR K SMART (MANAGING MEMBER) |
| Authorized Official Telephone | 3212784422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH25547 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Legacy Pharmacy | Doing Business As Name - Organization |
| Street Address |
10967 LAKE UNDERHILL RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32825-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629079413 | Adriana Garcia | Nurse Practitioner | 10967 Lake Underhill Rd, Ste117, Orlando, FL 32825-4457 | 2005-08-03 |
| 1376999227 | Zilan Hu | Acupuncturist | 10967 Lake Underhill Rd, Ste 135, Orlando, FL 32825-4455 | 2016-05-10 |
| 1033596119 | Margaret M Cornwell | Counselor | 10967 Lake Underhill Rd, Suite 113, Orlando, FL 32825-4457 | 2015-04-28 |
| 1699178582 | Jessica A Black | Physician Assistant | 10967 Lake Underhill Rd, Suite 122, Orlando, FL 32825-4457 | 2014-10-06 |
| 1245648500 | Light of Life, Inc. | Home Health | 10967 Lake Underhill Rd, Suite 112, Orlando, FL 32825-4457 | 2014-07-30 |
| 1861803355 | Lillian Rivera-lakhan | Counselor | 10967 Lake Underhill Rd, Suite 113, Orlando, FL 32825-4457 | 2014-05-19 |
| 1871910737 | Janel Diehr | Nurse Practitioner | 10967 Lake Underhill Rd, Suite 148, Orlando, FL 32825-4457 | 2014-03-27 |
| 1396161121 | Orlando Behavioral Healthcare | Counselor | 10967 Lake Underhill Rd, Suite 113, Orlando, FL 32825-4457 | 2014-03-18 |
| 1790930865 | Larry D Pinkus Rpt Ap LLC | Physical Therapist | 10967 Lake Underhill Rd, Suite#109, Orlando, FL 32825-4457 | 2008-11-17 |
| 1528285749 | Comprehensive Neurology Clinic Pa | Psychiatry & Neurology | 10967 Lake Underhill Rd, Suite 148, Orlando, FL 32825-4457 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
| 1649837550 | Jessica Rivera | Social Worker | 10600 Bloomfield Drive, Apt 918, Orlando, FL 32825 | 2019-05-27 |
| 1326526708 | Total Family Care LLC | Family Medicine | 106 North Dean Road, Suite 1, Orlando, FL 32825 | 2018-07-30 |
| 1285121772 | Neurological Health Associates, L.L.C. | Psychiatry & Neurology | 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 | 2018-04-19 |
| 1336636075 | Vijaya Laxmi Telu | Nurse Practitioner | 100 North Dean Rd Suite 101, Orlando, FL 32825 | 2018-04-18 |
| 1740795053 | Anna Louise Morris | Specialist/Technologist | 10719 Fairhaven Way, Orlando, FL 32825 | 2017-12-08 |
| 1568973352 | Darrenn G Cadet | Behavior Technician | 11121 Tortuga Bnd, Orlando, FL 32825 | 2017-10-19 |
| 1265942072 | Raquel B Saliba | Physical Therapist | 250 South Chickasaw Trail, Orlando, FL 32825 | 2017-10-06 |
| 1528585890 | Vreny Tatyana Gonzalez-casas | Behavior Technician | 3206 Mattson Dr, Orlando, FL 32825 | 2017-08-27 |
| 1184147803 | Alexandra Grace Mcmanus | Social Worker | 11258 Point Sylvan Circle, Orlando, FL 32825 | 2017-07-25 |
| Find all providers in zip 32825 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1902423015 | Aids Healthcare Foundation | Pharmacy | 1349 N. Mills Ave, Orlando, FL 32803-2542 | 2020-07-06 |
| 1821614983 | Wholescripts Pharmacy, LLC | Pharmacy | 6800 Kingspointe Pkwy Ste 100, Orlando, FL 32819-8592 | 2020-06-24 |
| 1508324963 | First Responders Pharmacy LLC | Pharmacy | 3333 Curry Ford Rd Ste B, Orlando, FL 32806-3472 | 2019-03-05 |
| 1023574407 | Orlando Health Inc. | Pharmacy | 1215 Atlanta Ave, Orlando, FL 32806-3985 | 2019-02-11 |
| 1447725163 | Radiance Health Rx LLC | Pharmacy | 723 Virginia Dr, Orlando, FL 32803-2527 | 2018-10-09 |
| 1336620954 | Avita Drugs Florida, LLC | Pharmacy | 801 N Magnolia Ave Ste 406, Orlando, FL 32803-3843 | 2018-08-22 |
| 1942719398 | Mkst Management, LLC Rxway Pharmacy | Pharmacy | 448 South Alafaya Trail, Suite 2, Orlando, FL 32828-8998 | 2017-09-28 |
| 1306367206 | Market Pharmacy | Pharmacy | 222 Neighborhood Market Rd Ste 105, Orlando, FL 32825-3525 | 2017-06-29 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1689129173 | Plaza Pharmacy,llc | Pharmacy | 3094 Curry Ford Rd, Orlando, FL 32806-3376 | 2016-08-24 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.