12116 Liberty Avenue Drugs Inc.
NPI 1568550333ActiveOrganization· Pharmacist· South Richmond Hill, NY
Pharmacist in South Richmond Hill, New York, registered in NPPES in October 2006. The authorized official on file is Diane Shanaz Bacchus-Quddus, Secretary.
Overview
| NPI | 1568550333 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2006 |
| Last updated in NPPES | Jun 13, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 027272 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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