Active NPI
Harry Jay Lieberman, PHARMACIST
- Pharmacist
- Greenacres, FL
National Provider Identifier
1225311392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37108
- Practice address
- 6025 Lake Worth Rd
Greenacres, FL 33463-4288 - Phone
- (561) 955-2180
- Fax
- (561) 965-5951
- NPI assigned
- Sep 24, 2011
- Sex
- Male
- 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 | PS37108 | FL | Primary |
Addresses
Primary practice location
6025 Lake Worth Rd
Greenacres, FL 33463-4288
Mailing address
6025 Lake Worth Rd
Greenacres, FL 33463-4288
Phone (561) 955-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS37108 | Other | FL | FLORIDA STATE PHARMACIST LICENSE |
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 |
|---|---|---|---|
| PS37108 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1225311392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 LAKE WORTH RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334634288",
"telephone_number": "561-955-2180",
"fax_number": "561-965-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 LAKE WORTH RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334634288",
"telephone_number": "561-955-2180",
"fax_number": "561-965-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "HARRY",
"middle_name": "JAY",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-24",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA STATE PHARMACIST LICENSE",
"identifier": "PS37108",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.