Active NPI
Liborio Mauro, PHARMD
- Pharmacist
- Rego Park, NY
National Provider Identifier
1972974962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061072
- Practice address
- 9511 63Rd Dr
Rego Park, NY 11374-2024 - Phone
- (718) 897-0803
- NPI assigned
- Oct 15, 2015
- Last updated
- Oct 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 061072 | NY | Primary |
Addresses
Primary practice location
9511 63Rd Dr
Rego Park, NY 11374-2024
Mailing address
9511 63Rd Dr
Rego Park, NY 11374-2024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061072 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1972974962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9511 63RD DR",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9511 63RD DR",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742024",
"telephone_number": "718-897-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURO",
"first_name": "LIBORIO",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-15",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.