Liberty Discount Drugs, Inc.

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

5301004586 Issued in MI

Legal business name

LIBERTY DISCOUNT DRUGS, INC.

Practice address

4802 W Vernor Hwy
Detroit, MI 48209-2122

Phone

(313) 554-3900

Fax

(313) 841-6966

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

George H Esho

Title

President

Phone

(313) 554-3900

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1982765020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092122",
            "telephone_number": "313-554-3900",
            "fax_number": "313-841-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092122",
            "telephone_number": "313-554-3900",
            "fax_number": "313-841-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DISCOUNT DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ESHO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-554-3900"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": "MI",
            "license": "5301004586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2341650",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1788281",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kehchyang Liang, MD
• Yutong Liang, DO
• David Liao Jr.
• Yaqian Liao, M.D.
• Liberal Manor Inc
• Liberty Pharmacy Inc
• Liberty Pharmacy Inc
• Liberty Residential Care LLC
• Liberty Temple Outreach
• Julie Anne Liberty, AGPCNP-BC

• Geriatric Pharmacist in Detroit, MI
• Providers in Detroit, MI by specialty
• Geriatric Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.