Legacy Specialty Pharmacy Corp
NPI 1538713524ActiveOrganization· Pharmacy· Ridgewood, NY
Pharmacy in Ridgewood, New York, registered in NPPES in July 2019. The authorized official on file is Matthew Sanger, Managing Member. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - pharmacy.
Overview
| NPI | 1538713524 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2019 |
| Last updated in NPPES | Sep 9, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NY); Part B Supplier - Pharmacy (NY) |
|---|
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