OrganizationActive
Legacy Pharmacy Oc LLC
NPI 1154101731 · Long Term Care Pharmacy · Orange City, FL
Provider details
- NPI number
- 1154101731
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Diptiben Smart, Pharmacy Manager(386) 218-4993
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
921 Town Center Dr Ste 100
Orange City, FL 32763-8266
Phone: (386) 218-4993
Fax: (386) 218-4913
Street-level locationGet directions
Mailing address
921 Town Center Dr Ste 100
Orange City, FL 32763-8266
Other names (DBA / former)
- Doing business as
- Legacy Pharmacy Oc
Registry dates
- Enumerated
- 2023-10-02
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.