Individual provider Active NPI

Vicky Liu, PHARMD

  • Pharmacist
  • Stoughton, MA
National Provider Identifier
1538648795
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
064286 Issued in NY
Practice address
100 Technology Center Dr Ste 600
Stoughton, MA 02072-4749
Phone
(781) 566-5066
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 064286 NY Primary

Addresses

Primary practice location

100 Technology Center Dr Ste 600
Stoughton, MA 02072-4749

Mailing address

1422 Avenue U
Brooklyn, NY 11229-3362
Phone (718) 645-1227

Other practice location 1

1422 Avenue U
Brooklyn, NY 11229-3320
Phone (718) 645-1227

Other practice location 2

882 3rd Ave Unit 3
Brooklyn, NY 11232-1902
Phone (646) 754-7921

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
064286NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Health Star Pharmacy,Inc Pharmacist PastSince Aug 27, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1538648795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293362",
            "telephone_number": "718-645-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY CENTER DR STE 600",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724749",
            "telephone_number": "781-566-5066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1422 Avenue U",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112293320",
            "country_code": "US",
            "telephone_number": "718-645-1227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "882 3rd Ave Unit 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112321902",
            "country_code": "US",
            "telephone_number": "646-754-7921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "VICKY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

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