LISS PHARMACY
NPI 1083717482
Pharmacy - Community/Retail Pharmacy in Newark, NJ

Q: What is Mt Prospect Pharmaceutical Services Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since September 07, 2006

794 MOUNT PROSPECT AVE, NEWARK, NJ 07104(973) 483-4749(973) 482-0643 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Liss Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISS PHARMACY (NPI 1083717482) is a healthcare organization registered as a community/retail pharmacy in Newark, New Jersey and active in the NPI registry since September 2006. The organization lists Matthew Joseph Parisi, Owner, as its authorized official.

NPPES Registry Identity

NPI1083717482

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMT PROSPECT PHARMACEUTICAL SERVICES INC

Location Address794 MOUNT PROSPECT AVENewark, NJ 07104-3221

Mailing Address794 Mount Prospect AveNewark, NJ 07104-3221 · (973) 483-4749 · Fax (973) 482-0643

Phone(973) 483-4749

Fax(973) 482-0643

Organization SubpartNo

Authorized OfficialMatthew Joseph ParisiOwner · (973) 483-4749

Enumeration DateSeptember 7, 2006

Last NPPES UpdateSeptember 11, 2017

✔ NPI 1083717482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NJ · 28RS00225300

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

794 MOUNT PROSPECT AVE, Newark, NJ 07104

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Other Names 1

Doing Business AsLiss Pharmacy

Other Identifiers 4

Medicaid2778009NJ

Medicare NSC1260300001NJ

Medicaid4249305NJ

Other3112620NJ · Nabp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liss Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew JerseyEnrollment IDO20090202000403Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

39 services39 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

34 services34 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MT PROSPECT PHARMACEUTICAL SERVICES INC

Durable Medical Equipment & Medical Supplies