Organization Active NPI

Liberty Pharmacy

  • Community/Retail Pharmacy
  • Miami, FL
National Provider Identifier
1043233307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LIBERTY PHARMACY
Practice address
7806 NE 2ND Ave
Miami, FL 33138-4805
Phone
(305) 762-7240
Fax
(305) 762-7241
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Raquel Gomez
Title
President
Phone
(305) 762-7240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

7806 NE 2ND Ave
Miami, FL 33138-4805

Mailing address

7806 NE 2ND Ave
Miami, FL 33138-4805
Phone (305) 762-7240

Other identifiers 1

IdentifierTypeStateIssuer
4910070001MedicaidFL

National Provider Directory

National Provider Directory

Locations

7806 NE 2nd Ave
Miami, FL 33138
Phone (305) 762-7240

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043233307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331384805",
            "telephone_number": "305-762-7240",
            "fax_number": "305-762-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331384805",
            "telephone_number": "305-762-7240",
            "fax_number": "305-762-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-762-7240"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4910070001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.