Liberty Drug LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LIBERTY DRUG LLC

Doing business as

Liberty Drug
Liberty Drug Colorado

Practice address

2095 W 6TH Ave Ste 114
Broomfield, CO 80020-1879

Phone

(801) 810-0337

NPI assigned

Nov 20, 2024

Last updated

Dec 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenna Merchant

Title

Manager

Phone

(983) 204-1050

Specialties & licenses 1

Addresses

Other names 2

• Liberty Drug Doing business as
• Liberty Drug Colorado Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared Alex Gonzalez, PHARMD

  • Pharmacist
  • Murray, UT
  • NPI 1235023698
  NPD
• Jessica Merchant, PHARM D

  • Pharmacist
  • Murray, UT
  • NPI 1760017032
  NPD

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1801611280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 W 4800 S STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234749",
            "telephone_number": "801-810-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W 6TH AVE STE 114",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201879",
            "telephone_number": "801-810-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "983-204-1050"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty Drug Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Danielle Levine, DO
• Kimberly J Lewan, PT
• Shannon M Lewis
• Eric W Liang, PHARMD
• Judith Libby-Lauwereins, MS, LMFT
• Matthew Aaron Liebentritt, D.O.
• Susanne Liebman, LCSW
• Audrey Lietar
• Life Alive Chiropractic LLC
• Lifetime Healthcare & Medical

• Long Term Care Pharmacy in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Long Term Care Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.