Sullivan Pharmacy Inc
Community/Retail Pharmacy
267 North Main St, Liberty
New York, 12754-1846
845-295-5456 845-295-5458
Sullivan Pharmacy Inc is a Community/Retail Pharmacy in Liberty, New York. It is located at 267 North Main St, Liberty and it's customer support contact number is 845-295-5456. The authorized person of Sullivan Pharmacy Inc is Mr. Muhammad Khalique Qureshi, RPH who is Supervising Pharmacist/owner of the pharmacy and his contact number is 845-295-5456. Sullivan Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sullivan Pharmacy Inc is 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.
Pharmacy Details:
Sullivan Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Sullivan Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 267 North Main St, Liberty,
New York, 12754-1846 |
| Phone: | 845-295-5456 |
| Fax: | 845-295-5458 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Muhammad Khalique Qureshi |
| Credentials: | RPH |
| Position: | Supervising Pharmacist/owner |
| Contact Number: | 845-295-5456 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1194810770 |
| NPI Enumeration Date: | 03 Oct, 2006 |
| NPI Last Update On: | 27 Feb, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sullivan Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02632740 | Medicaid | New York | |
| 3343148 | Other | | Pharmacy Ncpdp |
Medicare Enrollment:
Sullivan Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2860602497 | O20100930092271 | Sullivan Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 2860602497 | O20141202001259 | Sullivan Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Sullivan Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Orthoses: Off-the-shelf |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 267 North Main St,
Liberty, New York |
| Zip: | 12754-1846 |
| Phone Number: | 845-295-5456 |
| Fax Number: | 845-295-5458 |
Patients can reach Sullivan Pharmacy Inc at
267 North Main St, Liberty, New York or can
call on customer care at 845-295-5456.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.