NPIMap

Organization Active NPI

Liberty Regional Medical Center

  • Long Term Care Pharmacy
  • Hinesville, GA
National Provider Identifier
1043875594
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LIBERTY REGIONAL MEDICAL CENTER
Practice address
462 Elma G. Miles Parkway
Hinesville, GA 31313
Phone
(912) 369-9478
Fax
(800) 611-2089
NPI assigned
May 9, 2019
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Robert Derek Rozier
Title
Cfo
Phone
(912) 369-9427

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

462 Elma G. Miles Parkway
Hinesville, GA 31313

Mailing address

462 Elma G. Miles Parkway
Hinesville, GA 31313
Phone (912) 369-9478

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address libertyregprac@lrmc.azalea.phimailbox.com
Direct Messaging Address ehr-direct@libertyregional.hin.us

National Provider Directory

National Provider Directory
Tax ID family
Liberty Regional Medical Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/lrmc-7d6101cc

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1043875594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 ELMA G. MILES PARKWAY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-369-9478",
            "fax_number": "800-611-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 ELMA G. MILES PARKWAY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-369-9478",
            "fax_number": "800-611-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "ROZIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-369-9427"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "libertyregprac@lrmc.azalea.phimailbox.com",
            "affiliation": "N",
            "address_1": "462 Elma G. Miles Parkway",
            "city": "Hinesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@libertyregional.hin.us",
            "affiliation": "N",
            "address_1": "462 Elma G. Miles Parkway",
            "city": "Hinesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.