Liju Jacob Cherian
Individual provider Active NPI Pharmacist · Levittown, PA
NPI 1548865322 · NPPES record last updated Dec 1, 2020
Key facts
- NPI
- 1548865322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP446644 (PA)
- Practice address
- 180 Levittown Pkwy
Levittown, PA 19055-2456 - Phone
- (215) 949-6605
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP446644 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP446644 | PA | Yes |
Addresses
Primary practice location
180 Levittown Pkwy
Levittown, PA 19055-2456
Mailing address
111 Hollybrooke Dr
Langhorne, PA 19047-5747
Phone (215) 354-7508
Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.