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SULLIVAN PHARMACY INC
NPI 1194810770
Pharmacy - Community/Retail Pharmacy in Liberty, NY

Active since October 03, 2006
267 NORTH MAIN ST, LIBERTY, NY 12754(845) 295-5456(845) 295-5458 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Jan 30, 2023 (2 updates tracked since 2023).

About Sullivan Pharmacy Inc NPPES

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

SULLIVAN PHARMACY INC (NPI 1194810770) is a healthcare organization registered as a community/retail pharmacy in Liberty, New York and active in the NPI registry since October 2006. The organization lists Muhammad Khalique Qureshi, Supervising Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1194810770
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSULLIVAN PHARMACY INC
Location Address267 NORTH MAIN STLiberty, NY 12754-1846
Mailing Address267 North Main StLiberty, NY 12754-1846 · (845) 295-5456 · Fax (845) 295-5458
Phone(845) 295-5456
Fax(845) 295-5458
Organization SubpartNo
Authorized OfficialMuhammad Khalique QureshiSupervising Pharmacist/owner · (845) 295-5456
Enumeration DateOctober 3, 2006
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1194810770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
267 NORTH MAIN ST, Liberty, NY 12754
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Other Identifiers 2

Medicaid02632740NY
Other3343148Pharmacy Ncpdp

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 Arizona Complete Health and more.Insurance ›

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.
26 services26 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.
23 services23 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Sullivan Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Sullivan Pharmacy Inc

DMEPOS supplier · Liberty, NY
✔

Accepts Medicare assignment

Sullivan Pharmacy Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20307677
Medicare Participant SinceJanuary 16, 2023
Supplier Location267 N Main StLiberty, NY 12754
Phone(845) 295-5456
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullivan Pharmacy Inc's NPI number?

The NPI number for Sullivan Pharmacy Inc is 1194810770. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Sullivan Pharmacy Inc located?

Sullivan Pharmacy Inc is located at 267 North Main St, Liberty, NY 12754. The listed phone number is (845) 295-5456.

What is Sullivan Pharmacy Inc's specialty?

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

Does Sullivan Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Sullivan Pharmacy Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Sullivan Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Sullivan Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sullivan Pharmacy Inc was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.