LIBERTY PHARMACY INC (NPI# 1326143603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326143603 |
| Entity Type | Organization |
| Organization Name | LIBERTY PHARMACY INC |
| Practice Address |
4802 W Vernor Hwy Detroit MI 48209-2122 |
| Practice Telephone | 3138411990 |
| Practice Fax Number | 3139416966 |
| Mailing Telephone | 3138411990 |
| Mailing Fax Number | 3138416966 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-08-08 |
| Authorized Official Name | MR. GEORGE HANNA ESHO (PRESIDENT) |
| Authorized Official Telephone | 3138411990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301006438 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3272292 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 0H22563 | 01 |
| MI | 3272800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841516564 | Liberty Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 265 Broadway, Bayonne, NJ 07002 | 2010-04-20 |
| 1154544252 | Liberty Pharmacy Inc | Pharmacy | 1926 E Washington Ln, Philadelphia, PA 19138-1230 | 2007-04-10 |
| 1750873535 | Liberty Pharmacy Inc | Pharmacy | 4802 W Vernor Hwy, Detroit, MI 48209-2122 | 2018-06-06 |
| 1134205479 | Liberty Pharmacy Inc | Pharmacy | 146 E Swan St, Centerville, TN 37033-1446 | 2006-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIBERTY PHARMACY INC. | 124-02a Liberty Avenue, Richmond Hill, Ny 11419 |
| Street Address |
4802 W VERNOR HWY |
| City | DETROIT |
| State | MI |
| Zip Code | 48209-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750873535 | Liberty Pharmacy Inc | Pharmacy | 4802 W Vernor Hwy, Detroit, MI 48209-2122 | 2018-06-06 |
| 1982765020 | Liberty Discount Drugs, Inc. | Pharmacist | 4802 W Vernor Hwy, Detroit, MI 48209-2122 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501471 | El Valle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1940 Campbell, Detroit, MI 48209 | 2019-04-24 |
| 1598211583 | Elizabeth Lopez-riachi | Technician, Other | 1551 Cavaqlry St., Detroit, MI 48209 | 2016-08-30 |
| 1205210333 | Yamirka Torres | Behavioral Analyst | 1551 Cavalry St, Detroit, MI 48209 | 2015-07-18 |
| 1689943359 | Jessica Male | Pharmacist | 6223 W Jefferson Ave, Detroit, MI 48209 | 2011-12-23 |
| 1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
| 1891980330 | Emery K Toth | Dentist | 8028 W Vernor Hwy, Detroit, MI 48209 | 2007-09-07 |
| 1225131881 | Eva A Karmo | Dentist | 4607 W. Vernor Hwy, Detroit, MI 48209 | 2006-09-07 |
| 1023123858 | Wanda E Velez Ruiz | Internal Medicine | 4115 W Vernor, Detroit, MI 48209 | 2006-08-20 |
| 1235142563 | Wendy Yousif Mckay | Family Medicine | 5831 W Vernor, Detroit, MI 48209 | 2006-08-15 |
| 1316950645 | Sahir H Cittan | Family Medicine | 5831 West Vernor, Detroit, MI 48209 | 2006-08-15 |
| Find all providers in zip 48209 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1912523986 | Gratiot Seven Pharmacy, LLC | Pharmacy | 12740 Gratiot Ave Ste 100, Detroit, MI 48205-3944 | 2020-06-24 |
| 1396361366 | Grand Greenfield Pharmacy, LLC | Pharmacy | 14661 Greenfield Rd Ste B, Detroit, MI 48227-2231 | 2020-06-24 |
| 1114556859 | Buena Salud LLC | Pharmacy | 7607 W Vernor Hwy, Detroit, MI 48209-1513 | 2020-04-04 |
| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1952938516 | Sinai Medical Pharmacy, LLC | Pharmacy | 16841 Schaefer Hwy, Detroit, MI 48235-4271 | 2020-03-24 |
| 1881231991 | Six Mile Medical Pharmacy, LLC | Pharmacy | 10420 W Mcnichols Rd Ste A, Detroit, MI 48221-2356 | 2019-12-08 |
| 1215570791 | Goshen Pharmacy LLC | Pharmacy | 16800 Greenfield Rd Unit B2, Detroit, MI 48235-3703 | 2019-10-28 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.