LIBERTY PHARMACY INC (NPI# 1841516564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841516564 |
| Entity Type | Organization |
| Organization Name | LIBERTY PHARMACY INC |
| Other Organization Name | LIBERTY PHARMACY |
| Practice Address |
265 Broadway Bayonne NJ 07002 |
| Practice Telephone | 2014367000 |
| Practice Fax Number | 2013390999 |
| Mailing Telephone | 2014367000 |
| Mailing Fax Number | 2013390999 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | ASHRAF ASHAMALLA (PHARMACIST/PRESIDENT) |
| Authorized Official Telephone | 2019930978 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00702500 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2124721 | 01 |
| Other Name | Type Code |
|---|---|
| Liberty Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
265 BROADWAY |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| 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 |
|---|---|---|---|---|
| 1891247474 | Quickchek Pharmacy | Pharmacy | 260-280 Broadway, Bayonne, NJ 07002-7501 | 2016-10-28 |
| 1386034726 | Allcare Pharmacy LLC | Pharmacy | 590 Avenue C, Bayonne, NJ 07002-8829 | 2015-01-23 |
| 1962813089 | A1 Pharmacy,llc | Pharmacy | 1009 Broadway, Bayonne, NJ 07002 | 2014-05-12 |
| 1366505984 | Midtown Pharmacy | Pharmacy | 812 Kennedy Blvd, Bayonne, NJ 07002-2809 | 2006-12-18 |
| 1235221706 | New Jersey Cvs Pharmacy LLC | Pharmacy | 560 Ave C, Bayonne, NJ 07002 | 2006-09-29 |
| 1962420612 | Srvn Pharmacy Inc | Pharmacy | 78 Avenue C, Bayonne, NJ 07002-2439 | 2006-07-18 |
| 1770180804 | Bcp Pharmacy LLC | Pharmacy | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-10-01 |
| 1730711300 | Lsc Pharmacy Services, Inc. | Pharmacy | 519 Broadway, Bayonne, NJ 07002-3713 | 2020-02-11 |
| 1952943987 | 516 Broadway Care Pharmacy LLC | Pharmacy | 516 Broadway, Bayonne, NJ 07002-3712 | 2019-10-10 |
| 1427529767 | Costco Wholesale Corporation | Pharmacy | 21 Goldsborough Dr, Bayonne, NJ 07002 | 2018-12-16 |
| Find all providers in BAYONNE | ||||
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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.