OrganizationActive
Legacy Pharmacy, LLC
NPI 1780659755 · Community/Retail Pharmacy · Pauls Valley, OK
Legacy Pharmacy, LLC is a Community/Retail Pharmacy organization in Pauls Valley, OK (NPI 1780659755).
Provider details
- NPI number
- 1780659755
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jullie Justice, Contracting(405) 447-3911
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
111 W Grant Ave
Pauls Valley, OK 73075-3257
Phone: (405) 238-3305
Fax: (405) 238-3307
Street-level locationGet directions
Mailing address
111 W Grant Ave
Pauls Valley, OK 73075-3257
Other names (DBA / former)
- Doing business as
- Legacy Drug
- Doing business as
- Legacy Drug
Registry dates
- Enumerated
- 2006-02-22
- Last updated
- 2020-05-06
- Certified
- 2020-05-06
Frequently asked questions
- What is Legacy Pharmacy, LLC's NPI number?
- Legacy Pharmacy, LLC's National Provider Identifier (NPI) is 1780659755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Pharmacy, LLC?
- Legacy Pharmacy, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Legacy Pharmacy, LLC located?
- Legacy Pharmacy, LLC's practice location on file with NPPES is 111 W Grant Ave, Pauls Valley, OK 73075-3257.
- What is Legacy Pharmacy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Pharmacy, LLC is (405) 238-3305.
- Who is the authorized official for Legacy Pharmacy, LLC?
- The authorized official listed on Legacy Pharmacy, LLC's NPPES record is Jullie Justice, Contracting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Pharmacy, LLC's NPI active?
- Yes — Legacy Pharmacy, LLC's NPI (1780659755) is active in the NPPES registry as of the last update on 2020-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.