Liberty Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP415390L Issued in PA

Legal business name

LIBERTY PHARMACY INC

Doing business as

LIBERTY PHARMACY INC

Practice address

1926 E Washington LN
Philadelphia, PA 19138-1230

Phone

(215) 927-4467

Fax

(215) 927-4469

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Victoria Obasi

Title

President

Phone

(215) 927-4467

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LIBERTY PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1154544252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 E WASHINGTON LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381230",
            "telephone_number": "215-927-4467",
            "fax_number": "215-927-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 E WASHINGTON LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381230",
            "telephone_number": "215-927-4467",
            "fax_number": "215-927-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "OBASI",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-927-4467"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415390L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01692930",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2083811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIBERTY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liberty Eye Surgical Center LLC
• Liberty Home Care Services LLC
• Liberty in-Home Health Care LLC
• Liberty Medical Group PC
• Liberty Medical Response LLC.
• Liberty Resources Health and Wellness, LLC
• Liberty Resources Home Choices, LLC
• Liberty Wheels, LLC
• Liberty Wheels, LLC
• Christian Alexander Libson, MD

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.