LIBERTY DRUG NPI 1093346546

NPI Information

  • NPI: 1093346546
  • Provider Name: LIBERTY DRUG
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: LIBERTY DRUG
  • Address: 497 W 4800 S STE 100
    MURRAY, UT
    ZIP 84123
  • Phone: (801) 810-0337

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NPI Details

LIBERTY DRUG is a long term care pharmacy pharmacy in Murray, UT. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. LIBERTY DRUG NPI is 1093346546. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Drug.

The provider's business location address is:

497 W 4800 S STE 100
MURRAY, UT
ZIP 84123-663
Phone: (801) 810-0337
Fax: (801) 312-8760

The provider's authorized official is Jennifer Merchant .
The authorized official title is Owner and has the following contact phone number (801) 810-0337.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)

The enumeration date for this NPI number is 2/3/2020 and was last updated on 1/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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