Active NPI
Paul Lieberman, BS PHARMACY
- Pharmacist
- New York, NY
National Provider Identifier
1619055654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024947
- Practice address
- 306 8TH Ave
New York, NY 10001-4802 - Phone
- (212) 255-9111
- Fax
- (212) 242-2587
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 024947 | NY | Primary |
Addresses
Primary practice location
306 8TH Ave
New York, NY 10001-4802
Mailing address
120 Wilmington Dr
Melville, NY 11747-3318
Phone (631) 491-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024947 | Other | NY | PHARMACY LICENCE |
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024947 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marpal Drug | Past | 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": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619055654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WILMINGTON DR",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473318",
"telephone_number": "631-491-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 8TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014802",
"telephone_number": "212-255-9111",
"fax_number": "212-242-2587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "BS PHARMACY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "024947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENCE",
"identifier": "024947",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.