Libra Healthcare LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIBRA HEALTHCARE LLC

Doing business as

Medicine Shoppe

Practice address

1232 8TH St
Daytona Beach, FL 32117-4009

Phone

(386) 238-3777

Fax

(386) 238-3343

NPI assigned

Aug 27, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dena Ferman

Title

Third Party Plan Coordinator

Phone

(314) 993-6000

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1265625990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 8TH ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174009",
            "telephone_number": "386-238-3777",
            "fax_number": "386-238-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 8TH ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174009",
            "telephone_number": "386-238-3777",
            "fax_number": "386-238-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBRA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FERMAN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "THIRD PARTY PLAN COORDINATOR",
        "authorized_official_telephone_number": "314-993-6000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1028112",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PH22899",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shealean Lewis, APRN
• Mikhail Lezhak, RPAC
• James Li, MD
• Anna S Liberatore, M.D.
• Libra 85
• Andrea Licari-Critchley, LPC, LMHC, NCC, MA
• Mary Cynthia Liebler, RD
• Life Individual Family Enrichment Services (Life)
• Andrea Mae Lilavois, ARNP
• Samantha Lilly, OTR/L, MSOT, CPAM

• Community/Retail Pharmacy in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.