OrganizationActive
Liberty Healthcare Pharmacy of Nevada LLC
NPI 1962648261 · Mail Order Pharmacy · Las Vegas, NV
Liberty Healthcare Pharmacy of Nevada LLC is a Mail Order Pharmacy organization in Las Vegas, NV (NPI 1962648261).
Provider details
- NPI number
- 1962648261
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Parent organization
- Liberty Healthcare Group, Inc.
- Organization subpart
- Yes
- Authorized official
- Keith Jones, President, Director(772) 398-5800
- License
- PH02204 (NV)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 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
6225 Annie Oakley Dr
Suite 100
Las Vegas, NV 89120-3914
Phone: (800) 491-3276
Fax: (877) 592-8466
Street-level locationGet directions
Mailing address
8881 Liberty Ln
Port St Lucie, FL 34952-3477
Registry dates
- Enumerated
- 2008-12-17
- Last updated
- 2023-03-07
Frequently asked questions
- What is Liberty Healthcare Pharmacy of Nevada LLC's NPI number?
- Liberty Healthcare Pharmacy of Nevada LLC's National Provider Identifier (NPI) is 1962648261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Healthcare Pharmacy of Nevada LLC?
- Liberty Healthcare Pharmacy of Nevada LLC is classified in the NPPES registry as Mail Order Pharmacy (Suppliers).
- Where is Liberty Healthcare Pharmacy of Nevada LLC located?
- Liberty Healthcare Pharmacy of Nevada LLC's practice location on file with NPPES is 6225 Annie Oakley Dr, Las Vegas, NV 89120-3914.
- What is Liberty Healthcare Pharmacy of Nevada LLC's phone number?
- The practice phone number listed in the NPPES registry for Liberty Healthcare Pharmacy of Nevada LLC is (800) 491-3276.
- Who is the authorized official for Liberty Healthcare Pharmacy of Nevada LLC?
- The authorized official listed on Liberty Healthcare Pharmacy of Nevada LLC's NPPES record is Keith Jones, President, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Healthcare Pharmacy of Nevada LLC's NPI active?
- Yes — Liberty Healthcare Pharmacy of Nevada LLC's NPI (1962648261) 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.