Liberty Medical Specialties Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

LIBERTY MEDICAL SPECIALTIES INC

Practice address

2224 S 17TH St
Wilmington, NC 28401-7515

Phone

(910) 763-8229

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Tamara Lynn Jones

Title

Billing Manager

Phone

(910) 642-2250

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Liberty Medical Specialties, Inc

  • Durable Medical Equipment & Medical Supplies
  • Wilmington, NC
  • NPI 1518171800

  O20100930014700

  Same enrollment

Locations

Practitioners 1

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

• Richard Dwayne Simpson, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Wilmington, NC
  • NPI 1760631782
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1710080296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284720339",
            "telephone_number": "910-642-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017515",
            "telephone_number": "910-763-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL SPECIALTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "910-642-2250",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP#",
            "identifier": "3436676",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IV",
            "identifier": "0473G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800282",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0656091",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty Commons Nursing Center Inc
• Liberty Commons Nursing Center Inc
• Liberty Healthcare Group, LLC
• Liberty Healthcare Group, LLC
• Liberty Healthcare Group, LLC
• Liberty Medical Specialties, Inc
• Liberty Nursing Services, LLC
• Stephen J Liederbach, M.D.
• Life Integrative Medicine
• Life Skills Therapy Center LLC

• Home Infusion Therapy Pharmacy in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Home Infusion Therapy Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.