Active NPI
Liberty Bay Health Solutions LLC
Doing business as MedOrganize
- Community/Retail Pharmacy
- Poulsbo, WA
National Provider Identifier
1225434467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHARCF60521167
- Legal business name
- LIBERTY BAY HEALTH SOLUTIONS LLC
- Doing business as
- MedOrganize
- Practice address
- 325 NE Hostmark St Ste B
Poulsbo, WA 98370-6668 - Phone
- (360) 930-8197
- Fax
- (360) 626-1913
- NPI assigned
- Nov 17, 2014
- 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
- Brandon Knott, RPH
- Title
- Owner/Pic
- Phone
- (360) 930-8197
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHARCF60521167 | WA | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
325 NE Hostmark St Ste B
Poulsbo, WA 98370-6668
Mailing address
PO Box 2850
Poulsbo, WA 98370-2850
Phone (360) 930-8197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2148781 | Other | PK |
Other names 1
- MedOrganize
National Provider Directory
National Provider DirectoryLocations
325 NE Hostmark St
Ste B
Poulsbo, WA 98370
Phone (360) 930-8197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424649600000",
"number": "1225434467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2850",
"city": "POULSBO",
"state": "WA",
"postal_code": "983702850",
"telephone_number": "360-930-8197",
"fax_number": "360-626-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 NE HOSTMARK ST STE B",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706668",
"telephone_number": "360-930-8197",
"fax_number": "360-626-1913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY BAY HEALTH SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-17",
"last_updated": "2015-02-23",
"status": "A",
"authorized_official_last_name": "KNOTT",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "360-930-8197",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WA",
"license": "PHARCF60521167",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2148781",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MedOrganize",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.