Active NPI
Idy Liu
- Pharmacist
- Newton, MA
National Provider Identifier
1194036558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26995
- Practice address
- 978 Boylston St
Newton, MA 02461-1504 - Phone
- (617) 244-0821
- NPI assigned
- Jun 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26995 | MA | Primary |
Addresses
Primary practice location
978 Boylston St
Newton, MA 02461-1504
Mailing address
978 Boylston St
Newton, MA 02461-1504
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Newton |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26995 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1194036558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 BOYLSTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 BOYLSTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611504",
"telephone_number": "617-244-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "IDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "26995",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Newton",
"affiliation": "N",
"address_1": "978 Boylston St",
"city": "Newton",
"state": "MA",
"country_code": "US",
"postal_code": "024611504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.