Liberty Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026987 Issued in NY

Legal business name

LIBERTY DRUG INC

Doing business as

POLLINA PHARMACY

Practice address

7605 13TH Ave
Brooklyn, NY 11228-2411

Phone

(718) 331-4300

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Nicholas DellorussoNPI 1932316353

Title

Owner

Phone

(718) 331-4300

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• POLLINA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Dellorusso

  • Pharmacist
  • Brooklyn, NY
  • NPI 1932316353
  NPD Authorized official
• Roberto Pollina, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1528382330
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577491200000",
    "number": "1639215247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282411",
            "telephone_number": "718-331-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112282411",
            "country_code": "US",
            "telephone_number": "718-331-4300",
            "fax_number": "718-331-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIBERTY DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A",
        "authorized_official_last_name": "DELLORUSSO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-331-4300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026987",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3341182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3341182",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02616622",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLLINA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POLLINA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosemary Libertella
• Liberty Audiology of New York PC
• Liberty Audiology of New York PC
• Liberty Ave Pharmacy,Inc
• Liberty Care Medical PC
• Liberty Hearing Center
• Liberty Hearing Center
• Liberty Medical Device
• Liberty Medical Devices
• Liberty Medical Diagnostics PC

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Dec 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.