Liberty RX Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIBERTY RX INC.

Practice address

12704 Liberty Ave
Jamaica, NY 11419-2216

Phone

(718) 880-2053

Fax

(718) 880-2081

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Farhan Malik

Title

Authorized Official

Phone

(718) 880-2053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1619740701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12704 LIBERTY AVE",
            "city": "JAMAICA",
            "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": "JAMAICA",
            "state": "NY",
            "postal_code": "114192216",
            "telephone_number": "718-880-2053",
            "fax_number": "718-880-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-880-2053",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Xilian Li, MD
• Ying-Siu Li, RPH
• Eva Liang
• Zihao Liang
• Veronique Liautaud
• Liberty Scripts Corp.
• Carmen Liburd
• Anthony Licea
• Latonya Lidge
• Life Health Care Medical, PC

• Community/Retail Pharmacy in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.