Legacy Compounding Inc
NPI 1144733072ActiveOrganization· Pharmacy, Compounding Pharmacy· Decatur, AL
Pharmacy, Compounding Pharmacy in Decatur, Alabama, registered in NPPES in November 2017. The authorized official on file is Samuel Costello, BS PHARMACY, Pharmacist-In Charge. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1144733072 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2017 |
| Last updated in NPPES | Jul 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | 114750 | AL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (AL) |
|---|
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