Active NPI
Richmond RX Inc
Doing business as Liberty Chemists
- Community/Retail Pharmacy
- South Richmond Hill, NY
National Provider Identifier
1720869928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- RICHMOND RX INC
- Doing business as
- Liberty Chemists
- Practice address
- 11022 Liberty Ave
South Richmond Hill, NY 11419-1706 - Phone
- (718) 480-1111
- Fax
- (718) 480-6666
- NPI assigned
- Oct 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mikhail Shakhmurov
- Title
- President
- Phone
- (718) 480-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
11022 Liberty Ave
South Richmond Hill, NY 11419-1706
Mailing address
11022 Liberty Ave
South Richmond Hill, NY 11419-1706
Phone (718) 480-1111
Other names 1
- LIBERTY CHEMISTS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231206001086 | NY | Part B Supplier - Pharmacy | 0042669814 | Practice locations: South Richmond Hill, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brooklyn, NY
- NPI 1184946030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1720869928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11022 LIBERTY AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191706",
"telephone_number": "718-480-1111",
"fax_number": "718-480-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11022 LIBERTY AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191706",
"telephone_number": "718-480-1111",
"fax_number": "718-480-6666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "SHAKHMUROV",
"authorized_official_first_name": "MIKHAIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-480-1111"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LIBERTY CHEMISTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Richmond Hill, NY
- Wendy T. Reyes, FNP-C
- Richmond Hill Adult Day Care Center Inc
- Richmond Hill Dental Group, PLLC (Lefferts Braces)
- Richmond Hill Medical Services,P.C.
- Richmond Hill Physician DO PC
- Richmond RX Pharmacy Inc
- Risa Pharmacy Inc (Garden RX Pharmacy)
- Rise and Shine Transportation Inc.
- Patricio Romero, PSY D
- Linda Rosella, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.