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12116 LIBERTY AVENUE DRUGS INC. NPI 1568550333


NPI Information

NPI: 1568550333
Provider Name: 12116 LIBERTY AVENUE DRUGS INC.

Doing Business As: CPW PHARMACY

Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
12116 LIBERTY AVE
SOUTH RICHMOND HILL, NY
ZIP 11419
Phone: (718) 322-4900
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12116 LIBERTY AVENUE DRUGS INC. is a pharmacist in South Richmond Hill, NY. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. 12116 LIBERTY AVENUE DRUGS INC. NPI is 1568550333. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cpw Pharmacy.

The provider's business location address is:

12116 LIBERTY AVE
SOUTH RICHMOND HILL, NY
ZIP 11419-112
Phone: (718) 322-4900
Fax: (718) 322-3121

The provider's authorized official is Diane Shanaz Bacchus-quddus .
The authorized official title is Secretary and has the following contact phone number (718) 322-4900.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 6/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist027272NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15450480001MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
202673476MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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