Liberty Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH25059 Issued in FL

Legal business name

LIBERTY PHARMACY LLC

Practice address

5443 N Federal Hwy
Ft Lauderdale, FL 33308-3206

Phone

(954) 543-2991

NPI assigned

Nov 22, 2010

Organization subpart

No

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

Authorized official

Name

Jefferson Henn

Title

MGR

Phone

(954) 543-2991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1073815106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5443 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083206",
            "telephone_number": "954-543-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5443 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083206",
            "telephone_number": "954-543-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "HENN",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "954-543-2991"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH25059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Liberman, O.D.
• Liberty House Inc
• Liberty Medical, LLC
• Liberty Medical, LLC
• Liberty Medical, LLC
• Beatriz A. Libos, PA-C
• Steven Licata, DO
• Vincent Charles Licata III, LCSW
• Moises Lichtinger, MD
• Debra S Lichtman, RN

• Pharmacy in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.