LIBERTY PHARMACY INC (NPI# 1750873535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750873535 |
| Entity Type | Organization |
| Organization Name | LIBERTY PHARMACY INC |
| Other Organization Name | LIBERTY PHARMACY INC |
| Practice Address |
4802 W Vernor Hwy Detroit MI 48209-2122 |
| Practice Telephone | 3138411990 |
| Practice Fax Number | 3138416966 |
| Mailing Telephone | 3138411990 |
| Mailing Fax Number | 3138416966 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | GOERGE ESHO (PRESIDENT) |
| Authorized Official Telephone | 3138411990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
5301006438 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2177576 | 01 | |
| MI | 1326143603 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Pharmacy Inc | Doing Business As Name - Organization |
| 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 |
| 1326143603 | Liberty Pharmacy Inc | Pharmacy | 4802 W Vernor Hwy, Detroit, MI 48209-2122 | 2006-09-13 |
| 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 |
|---|---|---|---|---|
| 1326143603 | Liberty Pharmacy Inc | Pharmacy | 4802 W Vernor Hwy, Detroit, MI 48209-2122 | 2006-09-13 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1699711101 | Henry Ford Health System | Pharmacy | 7800 W Outer Dr Ste 240, Detroit, MI 48235-3458 | 2006-06-22 |
| 1326525965 | 20201 West Seven Mile Drugs Inc | Pharmacy | 20201 W 7 Mile Rd, Detroit, MI 48219 | 2018-07-26 |
| 1811273626 | Genoa Healthcare, LLC | Pharmacy | 1700 Waterman St, Detroit, MI 48209-2022 | 2011-10-25 |
| 1760765614 | Genoa Healthcare, LLC | Pharmacy | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2011-09-27 |
| 1306151295 | Seven Mile Pharmacy LLC | Pharmacy | 14400 Gratiot Ave, Detroit, MI 48205-2307 | 2010-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772159 | Krx Medication Consultants | Pharmacy | 8266 Fernwood St, Augusta, MI 49012 | 2020-05-28 |
| 1235751306 | Ypsilanti Family Pharmacy, Inc. | Pharmacy | 2287 Ellsworth Rd Ste A, Ypsilanti, MI 48197-4805 | 2020-05-12 |
| 1366082935 | Home Town Pharmacy Inc | Pharmacy | 1114 W South Airport Rd, Traverse City, MI 49686-4739 | 2020-01-13 |
| 1619510328 | Great Lakes Pharmacies I Inc | Pharmacy | 6213 Chicago Rd Ste 200, Warren, MI 48092-1697 | 2019-10-25 |
| 1710520143 | H & L Drugs Inc | Pharmacy | 1455 S Lapeer Rd Ste 101, Lake Orion, MI 48360-1468 | 2019-10-17 |
| 1225688229 | Guardian Pharmacy of Grand Rapids, LLC | Pharmacy | 2930 29th St Se, Grand Rapids, MI 49512-1723 | 2019-09-12 |
| 1457905259 | Senior Care Rx LLC | Pharmacy | 24293 Telegraph Rd Ste 130, Southfield, MI 48033-7924 | 2019-07-30 |
| 1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
| 1457812117 | Pharmtek LLC | Pharmacy | 3307 Orchard Lake Rd, Keego Harbor, MI 48320-1308 | 2019-03-26 |
| 1801350772 | Prestige Specialty Pharmacy 2 | Pharmacy | 31700 Van Dyke Ave Ste B, Warren, MI 48093-7949 | 2019-01-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIBERTY PHARMACY INC.
| 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.