Libun Apothecary & Surgical Supply, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3502 Issued in MA

Legal business name

LIBUN APOTHECARY & SURGICAL SUPPLY, INC

Doing business as

Baxter Pharmacy

Practice address

464 Washington St
Quincy, MA 02169-5716

Phone

(617) 773-7733

Fax

(617) 773-8372

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas R Libby, RPH

Title

President

Phone

(617) 773-7733

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• BAXTER PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1851492078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695716",
            "telephone_number": "617-773-7733",
            "fax_number": "617-773-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695716",
            "telephone_number": "617-773-7733",
            "fax_number": "617-773-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBUN APOTHECARY & SURGICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-773-7733",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "3502",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "3502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408247",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2225921",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3502",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAXTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yuemei Li
• Zhenze Li
• Jiahui Liao, PHARMD
• Kevin Liao, RPH
• Kathleen Liberman, LICSW
• Alison Lee Licker, B.S.
• Lori Fran Lieberman, RD
• Lifetime Vision, LLC
• Joanna Lightburn, MSW
• Dora N Lim

• Community/Retail Pharmacy in Quincy, MA
• Providers in Quincy, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.