Eric Joseph Lieb

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP042573L Issued in PA

Practice address

72 Bedford SQ
Everett, PA 15537-6934

Phone

(814) 623-1995

Fax

(814) 623-2545

NPI assigned

Oct 27, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Everett, PA
  • NPI 1497772545
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1033719281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BEDFORD SQ",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155376934",
            "telephone_number": "814-623-1995",
            "fax_number": "814-623-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BEDFORD SQ",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155376934",
            "telephone_number": "814-623-1995",
            "fax_number": "814-623-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEB",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP042573L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Kozielec, DPT
• Amber Krenzer-Quartucci
• Philip Kucas, PA
• Christopher Michael Lance, DMD
• Shelah Layton, CPT
• Melanie Dawn Loop, PTA
• Scott M Love, DPT
• Lowers Pharmacy Inc
• Main Street Drug Store Inc
• Stanley Samuel Manges, DC

• Pharmacist in Everett, PA
• Providers in Everett, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.