Individual provider Active NPI

Isabel Liberato, PHARMD

  • Pharmacist
  • Aberdeen, NJ
National Provider Identifier
1215579776
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03727700 Issued in NJ
Practice address
1129 Route 34
Aberdeen, NJ 07747-2166
Phone
(732) 583-9500
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03727700 NJ Primary

Addresses

Primary practice location

1129 Route 34
Aberdeen, NJ 07747-2166

Mailing address

280 W Hazelwood Ave
Rahway, NJ 07065-3104
Phone (862) 262-6976

Other practice location 1

280 W Hazelwood Ave
Rahway, NJ 07065-3104
Phone (862) 262-6976

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03727700NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stop and Shop Supermarket Co LLC PastSince Oct 20, 2019 Accepting new patients
Stop and Shop Supermarket Co LLC PastSince Oct 20, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1215579776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W HAZELWOOD AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070653104",
            "telephone_number": "862-262-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 ROUTE 34",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077472166",
            "telephone_number": "732-583-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 W Hazelwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rahway",
            "state": "NJ",
            "postal_code": "070653104",
            "country_code": "US",
            "telephone_number": "862-262-6976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBERATO",
        "first_name": "ISABEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03727700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.