Marvin Lieblein Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50744 Issued in CA

Legal business name

MARVIN LIEBLEIN INC

Practice address

1400 Atlantic Ave
Long Beach, CA 90813-2013

Phone

(562) 591-4417

Fax

(562) 591-0416

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Jayshri Patel

Title

Owner

Phone

(909) 895-9260

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FAMILY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samir Bharat Mehta, PHARM. D

  • Pharmacist
  • Long Beach, CA
  • NPI 1780126425
  NPD (past)
• Deep J Patel, PHARMD

  • Pharmacist
  • Long Beach, CA
  • NPI 1801490016
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1073539532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132013",
            "telephone_number": "562-591-4417",
            "fax_number": "562-591-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132013",
            "telephone_number": "562-591-4417",
            "fax_number": "562-591-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN LIEBLEIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYSHRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-895-9260"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132765",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073539532",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Martirosian, MD
• Monica Louise Martocci, LMFT
• Caresse Martucci, RN
• Megan Martz
• Marvin Appel, M.D., Inc
• Marvis Sorrell, D.M.D., Inc.
• Mary Catherine LCSW
• Mary Pham Ikeda DDS Ms Inc
• Avina Jenell Marz
• Jan Karel Masek

• Community/Retail Pharmacy in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.