Liberty Family Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LIBERTY FAMILY PHARMACY INC

Practice address

430 N Greensboro St
Liberty, NC 27298-0000

Phone

(336) 644-7288

Fax

(336) 644-7291

NPI assigned

Apr 22, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy Dale Keith Jr., RPH MBA

Title

President

Phone

(336) 595-6979

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1831533892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 US HIGHWAY 158",
            "address_2": "PO BOX 63",
            "city": "STOKESDALE",
            "state": "NC",
            "postal_code": "273579248",
            "telephone_number": "336-644-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N GREENSBORO ST",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272980000",
            "telephone_number": "336-644-7288",
            "fax_number": "336-644-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-595-6979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.