12116 Liberty Avenue Drugs Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

027272 Issued in NY

Legal business name

12116 LIBERTY AVENUE DRUGS INC.

Doing business as

CPW Pharmacy

Practice address

12116 Liberty Ave
South Richmond Hill, NY 11419-2112

Phone

(718) 322-4900

Fax

(718) 322-3121

NPI assigned

Oct 10, 2006

Last updated

Jun 13, 2008By 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

Ms. Diane Shanaz Bacchus-Quddus III

Title

Secretary

Phone

(718) 322-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CPW Pharmacy Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amandeep Singh, PHARMACIST

  • Pharmacist
  • South Richmond Hill, NY
  • NPI 1497363782
  NPD (past)
• Kulpreet Singh, PHARMD

  • Pharmacist
  • South Richmond Hill, NY
  • NPI 1831896208
  NPD (past)
• Tahmina Sultan, RPH

  • Pharmacist
  • South Richmond Hill, NY
  • NPI 1457379166
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1568550333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12116 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192112",
            "telephone_number": "718-322-4900",
            "fax_number": "718-322-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12116 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192112",
            "telephone_number": "718-322-4900",
            "fax_number": "718-322-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "12116 LIBERTY AVENUE DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "BACCHUS-QUDDUS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "SHANAZ",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "718-322-4900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "027272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02673476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPW Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 125 Liberty Medical PLLC
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• Abihas International Corp
• Winston Abraham, RPH

• Pharmacist in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.