LIBERTY PHARMACY INC (NPI# 1134205479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134205479 |
| Entity Type | Organization |
| Organization Name | LIBERTY PHARMACY INC |
| Other Organization Name | LIBERTY CLINIC PHARMACY |
| Practice Address |
146 E Swan St Centerville TN 37033-1446 |
| Mailing Address |
Po Box 258 Centerville TN 37033-0258 |
| Practice Telephone | 9317292999 |
| Practice Fax Number | 9317293393 |
| Mailing Telephone | 9317292999 |
| Mailing Fax Number | 9317293393 |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | THOMAS MELVIN MAYS (PHARMACIST/OWNER) |
| Authorized Official Telephone | 9317292999 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2322 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1452938 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841516564 | Liberty Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 265 Broadway, Bayonne, NJ 07002 | 2010-04-20 |
| 1154544252 | Liberty Pharmacy Inc | Pharmacy | 1926 E Washington Ln, Philadelphia, PA 19138-1230 | 2007-04-10 |
| 1326143603 | Liberty Pharmacy Inc | Pharmacy | 4802 W Vernor Hwy, Detroit, MI 48209-2122 | 2006-09-13 |
| 1750873535 | Liberty Pharmacy Inc | Pharmacy | 4802 W Vernor Hwy, Detroit, MI 48209-2122 | 2018-06-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIBERTY PHARMACY INC. | 124-02a Liberty Avenue, Richmond Hill, Ny 11419 |
| Street Address |
146 E SWAN ST |
| City | CENTERVILLE |
| State | TN |
| Zip Code | 37033-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699859959 | Linda H Mays | Pharmacist | 146 E Swan St, Centerville, TN 37033-1446 | 2006-10-24 |
| 1063555761 | Emily Swan Cook | Pharmacist | 146 E Swan St, Centerville, TN 37033-1446 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225550031 | Saint Thomas Health | Pharmacy | 150 East Swan Street, Centerville, TN 37033 | 2017-07-13 |
| 1558726109 | Rebecca Schmid | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2015-12-28 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1053543256 | Sandra Elliott Tinnin | Midwife | 1180 Sulpher Creek Rd., Centerville, TN 37033 | 2009-08-20 |
| 1225267578 | Charlotte Maricia Staggs | Counselor | 820 Highway 100, #3, Centerville, TN 37033 | 2009-07-08 |
| 1083742084 | Centerstone | Community/Behavioral Health | 704 Highway 100, Suite101, Centerville, TN 37033 | 2007-03-01 |
| 1972684074 | Christy Hulan Mays | Pharmacist | 401 West Public Square, Centerville, TN 37033 | 2006-10-17 |
| 1992718688 | Saint Thomas Hickman Hospital | Clinic/Center | 150 E Swan Street, Centerville, TN 37033 | 2006-08-14 |
| 1528090552 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 1797 Hwy 100 East, Centerville, TN 37033 | 2006-07-07 |
| 1326074402 | Centerville Medical Investors, LLC | Skilled Nursing Facility | 112 Old Dickson Road, Centerville, TN 37033 | 2006-06-23 |
| Find all providers in zip 37033 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861503989 | Liberty Pharmacy, Inc | Pharmacy | 1518 Highway 100 Ste 100, Centerville, TN 37033-1182 | 2006-08-31 |
| 1033228150 | Dicks Supermarkets Inc | Pharmacy | 84 W. Parrish Lane, Centerville, UT 84014-1822 | 2006-08-30 |
| 1053328070 | Walgreen Co | Pharmacy | 1402 Miamisburg Centerville Rd, Centerville, OH 45459-3802 | 2006-08-02 |
| 1508889247 | Sier Inc | Pharmacy | 205 N Main Street, Centerville, OH 45459 | 2006-07-25 |
| 1437141371 | Rez Inc | Pharmacy | 213 N 13th St, Centerville, IA 52544-1707 | 2005-08-17 |
| 1477081743 | Lewis Family Drug, LLC | Pharmacy | 513 Broadway St, Centerville, SD 57014 | 2017-05-31 |
| 1679988398 | Costco Wholesale Corporation | Pharmacy | 5300 Cornerstone North Blvd, Centerville, OH 45440 | 2014-06-23 |
| 1619260049 | Pemco Pharmacy | Pharmacy | 1550 Yankee Park Pl, Centerville, OH 45458-1868 | 2011-05-18 |
| 1104915792 | University of Utah | Pharmacy | 26 S Main St, Ste 100, Centerville, UT 84014-1817 | 2006-10-12 |
| 1518062629 | Pioneer Memorial Hospital and Health Services | Pharmacy | 513 Broadway, Centerville, SD 57014 | 2006-09-13 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 37033 |
Please comment or provide details below to improve the information on LIBERTY PHARMACY INC.
| 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.