OrganizationActive
Liberty Medical, LLC
NPI 1649413832 · Mail Order Pharmacy · Port Saint Lucie, FL
Liberty Medical, LLC is a Mail Order Pharmacy organization in Port Saint Lucie, FL (NPI 1649413832).
Provider details
- NPI number
- 1649413832
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Parent organization
- Liberty Medical Holdings, LLC
- Organization subpart
- Yes
- Authorized official
- Jonathan Black, President(772) 398-5800
- License
- PH28876 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8881 Liberty Ln
Port Saint Lucie, FL 34952-3477
Phone: (800) 491-3276
Fax: (877) 592-8466
Approximate (ZIP-level) locationGet directions
Mailing address
8881 Liberty Ln
Port Saint Lucie, FL 34952-3477
Registry dates
- Enumerated
- 2009-04-17
- Last updated
- 2023-03-07
Frequently asked questions
- What is Liberty Medical, LLC's NPI number?
- Liberty Medical, LLC's National Provider Identifier (NPI) is 1649413832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Medical, LLC?
- Liberty Medical, LLC is classified in the NPPES registry as Mail Order Pharmacy (Suppliers).
- Where is Liberty Medical, LLC located?
- Liberty Medical, LLC's practice location on file with NPPES is 8881 Liberty Ln, Port Saint Lucie, FL 34952-3477.
- What is Liberty Medical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Liberty Medical, LLC is (800) 491-3276.
- Who is the authorized official for Liberty Medical, LLC?
- The authorized official listed on Liberty Medical, LLC's NPPES record is Jonathan Black, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Medical, LLC's NPI active?
- Yes — Liberty Medical, LLC's NPI (1649413832) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.