Organization Active NPI

Liberty Pharmacy RX Inc

  • Community/Retail Pharmacy
  • South Richmond Hill, NY
National Provider Identifier
1386599207
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LIBERTY PHARMACY RX INC
Practice address
12704 Liberty Ave
South Richmond Hill, NY 11419-2216
Phone
(718) 880-2053
Fax
(718) 880-2081
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Shakeera Acosta
Title
Owner
Phone
(718) 880-2053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

12704 Liberty Ave
South Richmond Hill, NY 11419-2216

Mailing address

12704 Liberty Ave
South Richmond Hill, NY 11419-2216
Phone (718) 880-2053

National Provider Directory

National Provider Directory

Locations

12704 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 738-2122

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1386599207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12704 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192216",
            "telephone_number": "718-880-2053",
            "fax_number": "718-880-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12704 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192216",
            "telephone_number": "718-880-2053",
            "fax_number": "718-880-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PHARMACY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "SHAKEERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-880-2053"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.