Organization Active NPI

Liberty Bay Health Solutions LLC

Doing business as MedOrganize

  • Community/Retail Pharmacy
  • Poulsbo, WA
National Provider Identifier
1225434467
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHARCF60521167 Issued in WA
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

Updated by the provider on Feb 23, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2148781OtherPK

Other names 1

  • MedOrganize Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.