LEGACY SPECIALTY PHARMACY CORP NPI 1538713524

NPI Details

LEGACY SPECIALTY PHARMACY CORP is a pharmacy in Ridgewood, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. LEGACY SPECIALTY PHARMACY CORP NPI is 1538713524. The provider is registered as an organization entity type.

The provider's business location address is:

6668 FRESH POND RD
RIDGEWOOD, NY
ZIP 11385-912
Phone: (718) 456-7300
Fax: (718) 456-7302

The provider's authorized official is Matthew Sanger .
The authorized official title is Managing Member and has the following contact phone number (718) 456-7300.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 7/28/2019 and was last updated on 9/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: