Jacob Lieberg, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

6983 Issued in SD

Practice address

2791 Dakota Ave S
Huron, SD 57350-4411

Phone

(605) 353-9513

NPI assigned

Jul 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1629702485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 1ST AVE N",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 DAKOTA AVE S",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573504411",
            "telephone_number": "605-353-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERG",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "SD",
            "license": "6983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Langbehn, OTR/L
• Lexie Hazel Larsen
• Amber Leigh Larson, OTR/L
• Angela Le, PHARMD
• Katelyn Jo Lewis, NP
• Lori Nadean Liebing, SPEECH PATHOLOGIST
• Ruth G Mosqueda Lim, MD
• Ashley Lindgren
• Anthony Loewen, MD
• Nathan H Loewen, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Huron, SD
• Providers in Huron, SD by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.