Liberty Medical, LLC
NPI 1649413832ActiveOrganization· Pharmacy, Mail Order Pharmacy· Port Saint Lucie, FL
Pharmacy, Mail Order Pharmacy in Port Saint Lucie, Florida, registered in NPPES in April 2009, part of Liberty Medical Holdings, LLC. The authorized official on file is Jonathan Black, President.
Overview
| NPI | 1649413832 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Liberty Medical Holdings, LLC |
| NPI issued | Apr 17, 2009 |
| Last updated in NPPES | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Mail Order Pharmacy Primary | 3336M0002X | PH28876 | FL |
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 |
|---|