NPIMap

Organization Active NPI

Liberty Medical Supply Inc

  • Mail Order Pharmacy
  • Port St Lucie, FL
National Provider Identifier
1033426234
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
PH16634 Issued in FL
Legal business name
LIBERTY MEDICAL SUPPLY INC
Practice address
10400 S US Highway 1
Suite 200
Port St Lucie, FL 34952-5600
Phone
(866) 907-0835
Fax
(877) 592-8466
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank A Harvey
Title
President/Director
Phone
(772) 398-5860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X PH16634 FL Primary

Addresses

Primary practice location

10400 S US Highway 1
Suite 200
Port St Lucie, FL 34952-5600

Mailing address

8881 Liberty LN
Attn:Compliance
Port St Lucie, FL 34952-3477
Phone (772) 398-5800

National Provider Directory

National Provider Directory
Tax ID family
Liberty Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1033426234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 LIBERTY LN",
            "address_2": "ATTN:COMPLIANCE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523477",
            "telephone_number": "772-398-5800",
            "fax_number": "772-398-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 S US HIGHWAY 1",
            "address_2": "SUITE 200",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525600",
            "telephone_number": "866-907-0835",
            "fax_number": "877-592-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "772-398-5860"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "FL",
            "license": "PH16634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.