Lic Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LIC PHARMACY CORP

Practice address

4035 21St St Ste 4C
Long Island City, NY 11101-6140

Phone

(347) 242-2981

Fax

(347) 242-2619

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Authorized official

Name

Zeeshan Safdar

Title

President

Phone

(347) 242-2981

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Karen Jiezhen Li, RPH

  • Pharmacist
  • Long Island City, NY
  • NPI 1841448040
  NPD
• Rong Tian Yu, RPH

  • Pharmacist
  • Long Island City, NY
  • NPI 1922264878
  NPD
• Ricky Huang

  • Pharmacist
  • Long Island City, NY
  • NPI 1487381711
  NPD (past)

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1649936980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 21ST ST STE 4C",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016140",
            "telephone_number": "347-242-2981",
            "fax_number": "347-242-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 21ST ST STE 4C",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016140",
            "telephone_number": "347-242-2981",
            "fax_number": "347-242-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIC PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "SAFDAR",
        "authorized_official_first_name": "ZEESHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-242-2981"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "eprescribing",
            "affiliation": "N",
            "endpointDescription": "escript",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4035 21st St Ste 4C",
            "city": "Long Island City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111016140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenny Liao
• Edward Libfeld, M.D.
• Jocelyn Librojo, OT
• Lic Dental Associate
• Lic Marriage and Family Therapy PLLC
• Lic Skyline Acupuncture PC
• Lic Skyline Medicine PC
• Lic Strong Physical Therapy PLLC
• Colleen Liddie
• Nicole Alexandra Lieber, NP

• Pharmacy in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.