Organization Active NPI

Liberty Pharmacy, Inc

Doing business as Liberty Pharmacy

  • Community/Retail Pharmacy
  • Van Nuys, CA
National Provider Identifier
1942739388
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
55275 Issued in CA
Legal business name
LIBERTY PHARMACY, INC
Doing business as
Liberty Pharmacy
Practice address
7335 Van Nuys Blvd #107
Van Nuys, CA 91405-1951
Phone
(747) 998-5610
Fax
(747) 998-5611
NPI assigned
Jun 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Maryanna Anderson
Title
Pharmacy Administrator
Phone
(818) 517-1627

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 55275 CA Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

7335 Van Nuys Blvd #107
Van Nuys, CA 91405-1951

Mailing address

7335 Van Nuys Blvd Ste 107
Van Nuys, CA 91405-1951
Phone (747) 998-5610

Other names 1

  • LIBERTY PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942739388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 VAN NUYS BLVD STE 107",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051951",
            "telephone_number": "747-998-5610",
            "fax_number": "747-998-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 VAN NUYS BLVD #107",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051951",
            "telephone_number": "747-998-5610",
            "fax_number": "747-998-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARYANNA",
        "authorized_official_title_or_position": "PHARMACY ADMINISTRATOR",
        "authorized_official_telephone_number": "818-517-1627"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55275",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIBERTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LIBERTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.