LIBERTY MEDICAL SPECIALTIES, INC (NPI# 1104921998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104921998 |
| Entity Type | Organization |
| Organization Name | LIBERTY MEDICAL SPECIALTIES, INC |
| Practice Address |
612-10 E Jefferson St Whiteville NC 28472 |
| Mailing Address |
Po Box 339 Whiteville NC 28472-0339 |
| Practice Telephone | 9106422250 |
| Practice Fax Number | 9106420109 |
| Mailing Telephone | 9106422250 |
| Mailing Fax Number | 9106420109 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-06-28 |
| Authorized Official Name | MR. TAMARA LYNN JONES (BILLING MANAGER) |
| Authorized Official Telephone | 9106422250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DME694 | 05 | |
| NC | 7701229 | 05 | |
| NC | BCBS | 0476T | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518171800 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 2224 South 17th Street, Wilmington, NC 28401 | 2007-05-09 |
| 1538373824 | Liberty Medical Specialties, Inc | Pharmacy | 612-10 E Jefferson Street, Whiteville, NC 28472 | 2007-05-09 |
| 1740347285 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1804 Owen Dr, Fayetteville, NC 28304-3421 | 2007-01-03 |
| 1952468472 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 4221 Garrett Rd, Unit # 10, Durham, NC 27707-3467 | 2007-01-03 |
| 1891852323 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1120 Ocean Hwy West, Supply, NC 28462 | 2007-01-03 |
| 1710043989 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 813 E Roosevelt Blvd Ste H, Monroe, NC 28112-5169 | 2006-12-29 |
| 1760587927 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 113 W Fire Tower Rd, Suite Q, Winterville, NC 28590-8377 | 2006-09-13 |
| 1790841955 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1007 Lexington Ave, Thomasville, NC 27360-3540 | 2006-12-29 |
| 1780740969 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 202 Penny Ln, Unit D, Morehead City, NC 28557-4305 | 2006-12-29 |
| Street Address |
612-10 E JEFFERSON ST |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548453434 | Total Sleep Therapy, LLC | Durable Medical Equipment & Medical Supplies | 721b Davis Ave, Whiteville, NC 28472-6003 | 2007-08-23 |
| 1891894135 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1728 South Madison Street, Whiteville, NC 28472-4934 | 2006-09-22 |
| 1922025170 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 200 Columbus Corners Dr, Whiteville, NC 28472-4905 | 2006-07-16 |
| 1245274018 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Jk Powell Blvd, Whiteville, NC 28472-2122 | 2006-06-15 |
| 1124396056 | Healthy Living Group Services, Inc. | Durable Medical Equipment & Medical Supplies | 805 N Franklin St, Whiteville, NC 28472-2735 | 2011-12-07 |
| 1346531605 | Tms Family Services, Inc. | Durable Medical Equipment & Medical Supplies | 805 N Franklin St, Whiteville, NC 28472-2735 | 2011-04-21 |
| 1326277518 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 612 Jefferson St, Unit 18, Whiteville, NC 28472-3708 | 2009-07-08 |
| 1437288081 | Nu Eyes Inc | Durable Medical Equipment & Medical Supplies | 36 Mcneill Plz, Whiteville, NC 28472-8602 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225864 | Tommy Mcneill | Durable Medical Equipment & Medical Supplies | 3602 Laurel Creek Way, Durham, NC 27712-2982 | 2020-11-08 |
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1306445648 | Good Hope Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3601 Capital Blvd Ste 101, Raleigh, NC 27604-3397 | 2020-10-19 |
| 1548876006 | Classified Group Ltd | Durable Medical Equipment & Medical Supplies | 520 Lake Holding St, Wake Forest, NC 27587-6856 | 2020-09-21 |
| 1518573468 | Joemax Healthcare Services LLC | Durable Medical Equipment & Medical Supplies | 3535 S Wilmington St Ste 208, Raleigh, NC 27603-3512 | 2020-09-16 |
| 1023623303 | Vanity Allure X Ylh Beautique Salon Suites LLC | Durable Medical Equipment & Medical Supplies | 405 Blandwood Ave, Greensboro, NC 27401-2705 | 2020-09-13 |
| 1356954556 | Ramona Strong | Durable Medical Equipment & Medical Supplies | 104 Lynden Ln, New Bern, NC 28560-8552 | 2020-08-26 |
| 1104438506 | Murphy Medical Supply | Durable Medical Equipment & Medical Supplies | 12520 Capital Blvd Ste 401-114, Wake Forest, NC 27587-4659 | 2020-08-18 |
| 1538779590 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 24 Publix Drive, Clayton, NC 27527 | 2020-08-05 |
| 1861001133 | Emergeortho, P.a. | Durable Medical Equipment & Medical Supplies | 6019 Oleander Dr Ste 200, Wilmington, NC 28403-4813 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.