Liscio Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030027 Issued in NY

Legal business name

LISCIO PHARMA INC

Practice address

2498 Williamsbridge Rd
Bronx, NY 10469-4806

Phone

(718) 547-3706

Fax

(718) 231-3919

NPI assigned

Mar 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Dulal Chakraborty, RPH

Title

Pharmacy Manager / Vice President

Phone

(718) 547-3706

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LISCIO PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allan Frederick Grosso

  • Pharmacist
  • Bronx, NY
  • NPI 1578622049
  NPD (past)

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1972827103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694897",
            "telephone_number": "718-547-3706",
            "fax_number": "718-231-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694806",
            "telephone_number": "718-547-3706",
            "fax_number": "718-231-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISCIO PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "CHAKRABORTY",
        "authorized_official_first_name": "DULAL",
        "authorized_official_title_or_position": "PHARMACY MANAGER / VICE PRESIDENT",
        "authorized_official_telephone_number": "718-547-3706",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125131",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03193804",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LISCIO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LISCIO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mairenit Liriano
• Octavio Liriano, MD
• Ydalis M Liriano, PNP
• Martina Lirios-Siciliano, MD
• Robert Lis, MD
• Liscio Pharmacy Corp
• Oleg Lisitsyn, OD
• Agata Lisok
• Danielle Rebecca Liss, M.A., CCC-SLP
• Elena Lissina, DDS, PHD

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.