LIBERTY DISCOUNT DRUGS, INC. (NPI# 1982765020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982765020 |
| Entity Type | Organization |
| Organization Name | LIBERTY DISCOUNT DRUGS, INC. |
| Practice Address |
4802 W Vernor Hwy Detroit MI 48209-2122 |
| Practice Telephone | 3135543900 |
| Practice Fax Number | 3138416966 |
| Mailing Telephone | 3135543900 |
| Mailing Fax Number | 3138416966 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GEORGE H ESHO (PRESIDENT) |
| Authorized Official Telephone | 3135543900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
5301004586 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DEA NUMBER | BL9711498 | 01 |
| MI | 1788281 | 05 | |
| MI | NCPDP | 2341650 | 01 |
| 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 |
| 1750873535 | Liberty Pharmacy Inc | Pharmacy | 4802 W Vernor Hwy, Detroit, MI 48209-2122 | 2018-06-06 |
| 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 | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780902650 | June L. Moore | Pharmacist | 19926 Prairie St, Detroit, MI 48221-1217 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467877555 | Richard Alan Campbell | Pharmacist | 2623 Stone Valley Ln, Kalamazoo, MI 49009-5846 | 2014-02-26 |
| 1568771434 | Chadi G Azzi | Pharmacist | 7698 Watford Dr, West Bloomfield, MI 48322-2837 | 2010-09-27 |
| 1609198985 | Leesha L Askew | Pharmacist | 1517 Chip Rd, Kawkawlin, MI 48631-9174 | 2010-02-26 |
| 1790017135 | Victoria Anne Gates | Pharmacist | 2433 Beacon Hill Ct, Rochester Hills, MI 48309-1513 | 2010-02-10 |
| 1326256413 | Amy S Pouillon | Pharmacist | 938 Maxwell Ave Se, East Grand Rapids, MI 49506-3443 | 2007-05-20 |
| 1023239381 | Ahmed A Hassan | Pharmacist | 1226 Horseshoe Cir, Apt # 205, Ann Arbor, MI 48108-2823 | 2007-05-02 |
| 1962524710 | Stephen Francis Woltanski | Pharmacist | 3001 West M20, New Era, MI 49446 | 2007-04-04 |
| 1174644553 | Manju Taneja Beier | Pharmacist | 2001 Commonwealth Blvd Ste 205, Ann Arbor, MI 48105-1568 | 2007-04-03 |
| 1558485326 | Marc L. Guzzardo | Pharmacist | 6615 Chirco Ct, Shelby Township, MI 48316-3415 | 2007-03-19 |
| 1215066923 | Eilene Eynon | Pharmacist | 3414 N Century Oak Cir, Oakland, MI 48363-2645 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
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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.