Liberty Medical Center, PC
NPI 1609144450ActiveOrganization· Non-Pharmacy Dispensing Site· Liberty, MO
Non-Pharmacy Dispensing Site in Liberty, Missouri, registered in NPPES in December 2011, part of Liberty Medical Center PC. The authorized official on file is Shelly Boomgaarden, Billing.
Overview
| NPI | 1609144450 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Liberty Medical Center PC |
| NPI issued | Dec 8, 2011 |
| Last updated in NPPES | Mar 20, 2026 |
| Certified by provider | Mar 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|