Liberty Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIBERTY PHARMACY INC

Practice address

886 Campbell Ave
West Haven, CT 06516-2732

Phone

(475) 766-5454

NPI assigned

Apr 20, 2024

Organization subpart

No

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

Authorized official

Name

Fawwad Nomani

Title

President

Phone

(475) 766-5454

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1689429946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 CAMPBELL AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162732",
            "telephone_number": "475-766-5454",
            "fax_number": "475-766-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 CAMPBELL AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162732",
            "telephone_number": "475-766-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-20",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "NOMANI",
        "authorized_official_first_name": "FAWWAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "475-766-5454"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Abbadessa Lettiero, MSW
• Carolyn Moira Levinson
• Sherroine C Lewis
• Susan Vaughan Lewis, M.D.
• Jia Li, M.D., PH.D.
• Joseph Anthony Licausi II
• John David Lieberman, LPC
• Edward Paul Liebmann
• Mary D Lilley
• Hong Ju Lin

• Community/Retail Pharmacy in West Haven, CT
• Providers in West Haven, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.