Prime Liberty Pharmacy Inc
NPI 1275091373 · Community/Retail Pharmacy · Van Nuys, CA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Liberty Pharmacy Inc is a Community/Retail Pharmacy organization in Van Nuys, CA (NPI 1275091373).
Provider details
- NPI number
- 1275091373
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Hasmik Gevshenian, Ceo/Cfo/Sec/Dir(818) 465-3515
Specialties & taxonomies
Suppliers
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Prime Liberty Pharmacy
Registry dates
- Enumerated
- 2019-03-07
- Last updated
- 2021-07-15
- Certified
- 2021-07-15
Frequently asked questions
- What is Prime Liberty Pharmacy Inc's NPI number?
- Prime Liberty Pharmacy Inc's National Provider Identifier (NPI) is 1275091373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Liberty Pharmacy Inc?
- Prime Liberty Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Prime Liberty Pharmacy Inc located?
- Prime Liberty Pharmacy Inc's practice location on file with NPPES is 7335 Van Nuys Blvd Ste 107, Van Nuys, CA 91405-1951.
- What is Prime Liberty Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Prime Liberty Pharmacy Inc is (818) 465-3515.
- Does Prime Liberty Pharmacy Inc accept Medicare?
- Prime Liberty Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime Liberty Pharmacy Inc?
- The authorized official listed on Prime Liberty Pharmacy Inc's NPPES record is Hasmik Gevshenian, Ceo/Cfo/Sec/Dir. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Liberty Pharmacy Inc's NPI active?
- Yes — Prime Liberty Pharmacy Inc's NPI (1275091373) is active in the NPPES registry as of the last update on 2021-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.