Organization Active NPI

Liss Medical Arts Pharmacy & Surgical Inc.

  • Community/Retail Pharmacy
  • Summit, NJ
National Provider Identifier
1770636649
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RS04882 Issued in NJ
Legal business name
LISS MEDICAL ARTS PHARMACY & SURGICAL INC.
Practice address
33 Overlook Rd
Suite 102
Summit, NJ 07901-3570
Phone
(908) 522-0111
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Mr. Kunal S Shah
Title
Owner
Phone
(908) 522-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RS04882 NJ Primary

Addresses

Primary practice location

33 Overlook Rd
Suite 102
Summit, NJ 07901-3570

Mailing address

33 Overlook Rd
Suite 102
Summit, NJ 07901-3570
Phone (908) 522-0111

Other names 1

  • Liss Medical Arts Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

33 Overlook Rd
Ste 102
Summit, NJ 07901
Phone (908) 522-0111

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1770636649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "SUITE 102",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013570",
            "telephone_number": "908-522-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "SUITE 102",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013570",
            "telephone_number": "908-522-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISS MEDICAL ARTS PHARMACY & SURGICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KUNAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-522-0111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "RS04882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liss Medical Arts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.