NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Liberty Medical, LLC

Mail Order Pharmacy in Port Saint Lucie, FL · enumerated 2009 · authorized official Jonathan Black, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649413832

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Liberty Medical, LLC
Parent organization Liberty Medical Holdings, LLC
Practice address 8881 Liberty Ln, Port Saint Lucie, FL, 34952
Fax (877) 592-8466
Enumeration date Apr 17, 2009
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

3336M0002X Mail Order Pharmacy Suppliers · License PH28876 (FL) Primary

Authorized official

Name Jonathan Black
Title President

Other identifiers

Identifier Type State Issuer
1045118 Other - NCPDP
PH28876 Other FL RESIDENT BOARD OF PHARMACY LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Liberty Medical, LLC?
Liberty Medical, LLC is registered in NPPES as a Mail Order Pharmacy (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.