Individual provider Active NPI

Liberty Embacher, PHARMD

  • Pharmacist
  • Weirton, WV
National Provider Identifier
1598495772
Registry record updated Jun 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0012748 Issued in WV
Practice address
204 Three Springs Dr Ste 3
Weirton, WV 26062-3815
Phone
(304) 207-9856
NPI assigned
Jun 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03441495 OH
Pharmacist 183500000X RP0012748 WV Primary

Addresses

Primary practice location

204 Three Springs Dr Ste 3
Weirton, WV 26062-3815

Mailing address

204 Three Springs Dr Ste 3
Weirton, WV 26062-3815
Phone (304) 207-9856

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03441495OHMDPharmacist
RP0012748WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1598495772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 THREE SPRINGS DR STE 3",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623815",
            "telephone_number": "304-207-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 THREE SPRINGS DR STE 3",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623815",
            "telephone_number": "304-207-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBACHER",
        "first_name": "LIBERTY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03441495",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0012748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "204 Three Springs Dr Ste 3",
            "city": "Weirton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260623815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.