PRIME LIBERTY PHARMACY INC (NPI# 1275091373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275091373 |
| Entity Type | Organization |
| Organization Name | PRIME LIBERTY PHARMACY INC |
| Other Organization Name | PRIME LIBERTY PHARMACY |
| Practice Address |
7335 Van Nuys Blvd Ste 107 Van Nuys CA 91405-1951 |
| Practice Telephone | 8184653515 |
| Practice Fax Number | 8184653514 |
| Mailing Telephone | 8184653515 |
| Mailing Fax Number | 8184653514 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | DR. DIANA MOSKOVYAN (CEO/DIR) |
| Authorized Official Telephone | 8184653515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| LIBEERTY PHARMACY | Doing Business As Name - Organization |
| LIBERTY PHARMACY | Doing Business As Name - Organization |
| PRIME LIBERTY PHARMACY | Doing Business As Name - Organization |
| Street Address |
7335 VAN NUYS BLVD STE 107 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766266 | Nowrx Inc | Pharmacy | 16517 Arminta St, Van Nuys, CA 91406-1745 | 2020-10-06 |
| 1366099186 | Healthy Care Pharmacy Inc | Pharmacy | 6405 Van Nuys Blvd, Van Nuys, CA 91401-1437 | 2019-08-26 |
| 1982250916 | Windsor Pharmacy Inc | Pharmacy | 6411 Sepulveda Blvd Ste 2a, Van Nuys, CA 91411-1304 | 2019-08-15 |
| 1609435098 | Victory Care Rx Inc | Pharmacy | 13309 Victory Blvd Ste A, Van Nuys, CA 91401-1832 | 2019-06-10 |
| 1962067587 | Nova Luxe Pharmacy | Pharmacy | 13756 Victory Blvd, Van Nuys, CA 91401-2324 | 2019-05-08 |
| 1073025607 | St Mary Pharmaceutical Corp | Pharmacy | 15333 Sherman Way Ste C, Van Nuys, CA 91406-4204 | 2017-11-05 |
| 1104346592 | Caring Pharmacy Inc | Pharmacy | 6365 Van Nuys Blvd Ste A, Van Nuys, CA 91401-2639 | 2017-06-26 |
| 1942739388 | Liberty Pharmacy, Inc | Pharmacy | 7335 Van Nuys Blvd #107, Van Nuys, CA 91405-1951 | 2017-06-08 |
| 1356879787 | Cosmed Pharmacy, Inc. | Pharmacy | 6521 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2017-05-30 |
| 1073973715 | Veterans Pharmacy Inc | Pharmacy | 14105 Burbank Blvd, Van Nuys, CA 91401-4908 | 2016-02-23 |
| Find all providers in VAN NUYS | ||||
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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.