Organization Active NPI

Liberty Scripts Corp.

  • Pharmacy
  • Jamaica, NY
National Provider Identifier
1790678399
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LIBERTY SCRIPTS CORP.
Practice address
13512 Liberty Ave
Jamaica, NY 11419-2355
Phone
(347) 543-2124
NPI assigned
Jun 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Avraham A. Sadikov
Title
President
Phone
(347) 543-2124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

13512 Liberty Ave
Jamaica, NY 11419-2355

Mailing address

13512 Liberty Ave
Jamaica, NY 11419-2355
Phone (347) 543-2124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251217002571 NY Part B Supplier - Pharmacy 6103311105 Practice locations: Jamaica, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Liberty Scripts Corp.13512 Liberty Ave, Jamaica, NY 11419-2355(347) 238-1114 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 10, 2025

National Provider Directory

National Provider Directory

Locations

13512 Liberty Ave
Jamaica, NY 11419
Phone (347) 238-1114

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1790678399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13512 LIBERTY AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114192355",
            "telephone_number": "347-543-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13512 LIBERTY AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114192355",
            "telephone_number": "347-543-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY SCRIPTS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "SADIKOV",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-543-2124"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

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