Legacy Drugstore Inc
Community/Retail Pharmacy
400 S Broad St, Elizabeth
New Jersey, 07202-3502
908-352-0050 908-352-0075
Legacy Drugstore Inc is a Community/Retail Pharmacy in Elizabeth, New Jersey. It is located at 400 S Broad St, Elizabeth and it's customer support contact number is 908-352-0050. The authorized person of Legacy Drugstore Inc is Gurdine Soma who is Pharmacist, Owner of the pharmacy and his contact number is 908-352-0050. Active license number of Legacy Drugstore Inc is 28RS00703600 for Community/Retail Pharmacy in New Jersey. Legacy Drugstore Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Legacy Drugstore Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Legacy Drugstore Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Legacy Drugstore Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 400 S Broad St, Elizabeth,
New Jersey, 07202-3502 |
| Phone: | 908-352-0050 |
| Fax: | 908-352-0075 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Gurdine Soma |
| Position: | Pharmacist, Owner |
| Contact Number: | 908-352-0050 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1003135195 |
| NPI Enumeration Date: | 28 May, 2010 |
| NPI Last Update On: | 17 Feb, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Legacy Drugstore Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 28RS00703600 | New Jersey | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2125679 | Other | | Pk |
Medicare Enrollment:
Legacy Drugstore Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9032333992 | O20140616000804 | Legacy Drugstore Inc | DME SUPPLIER - PHARMACY |
| 9032333992 | O20141030002007 | Legacy Drugstore Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Legacy Drugstore Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Surgical Dressings |
| • Walkers | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 400 S Broad St,
Elizabeth, New Jersey |
| Zip: | 07202-3502 |
| Phone Number: | 908-352-0050 |
| Fax Number: | 908-352-0075 |
Patients can reach Legacy Drugstore Inc at
400 S Broad St, Elizabeth, New Jersey or can
call on customer care at 908-352-0050.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.