Liberty Drug

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LIBERTY DRUG

Practice address

497 W 4800 S Ste 100
Murray, UT 84123-4663

Phone

(801) 810-0337

Fax

(801) 312-8760

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Merchant

Title

Owner

Phone

(801) 810-0337

Specialties & licenses 1

Addresses

Other names 1

• Liberty Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Alex Gonzalez, PHARMD

  • Pharmacist
  • Murray, UT
  • NPI 1235023698
  NPD
• Jessica Merchant, PHARM D

  • Pharmacist
  • Murray, UT
  • NPI 1760017032
  NPD

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1093346546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 W 4800 S STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234663",
            "telephone_number": "801-810-0337",
            "fax_number": "877-540-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 W 4800 S STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234663",
            "telephone_number": "801-810-0337",
            "fax_number": "801-312-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-810-0337",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Romberger Lewis, CSW
• Isabel Lewis, OTR/L
• Mark Andrew Lewis, M.D.
• Randal John Lewis, M.D.
• Shane D. Lewis, M.D.
• Lice Clinic of America Murray
• Lifestar
• Lifestar Salt Lake, LLC
• Joanie Marie Limb, FNP-C
• Jun Lin, FNP-C

• Long Term Care Pharmacy in Murray, UT
• Providers in Murray, UT by specialty
• Long Term Care Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.