Active NPI
Liberty Drugs LLC
Doing business as Liberty Pharmacy
- Long Term Care Pharmacy
- Georgetown, TX
National Provider Identifier
1093283681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- LIBERTY DRUGS LLC
- Doing business as
- Liberty Pharmacy
- Practice address
- 2411 Williams Dr Ste 3
Georgetown, TX 78628-3261 - Phone
- (512) 820-0101
- Fax
- (512) 820-1244
- NPI assigned
- Nov 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mufid Najjar
- Title
- Managing Member
- Phone
- (512) 820-0101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
2411 Williams Dr Ste 3
Georgetown, TX 78628-3261
Mailing address
2411 Williams Dr Ste 3
Georgetown, TX 78628-3261
Phone (512) 820-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1149753 | Medicaid | TX |
Other names 1
- Liberty Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Liberty Drugs LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Austin, TX
- NPI 1427415991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1093283681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 WILLIAMS DR STE 3",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283261",
"telephone_number": "512-820-0101",
"fax_number": "512-820-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 WILLIAMS DR STE 3",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283261",
"telephone_number": "512-820-0101",
"fax_number": "512-820-1244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY DRUGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-13",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "NAJJAR",
"authorized_official_first_name": "MUFID",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "512-820-0101"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1149753",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Liberty Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Liberty Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.