LIBERTY PHARMACY
NPI 1245602598
Pharmacy in Mountain View, MO
- Organization
- Pharmacy
About LIBERTY PHARMACY
This page provides the complete NPI Profile along with additional information for Liberty Pharmacy, a provider established in Mountain View, Missouri operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1245602598 assigned on October 2015. The practitioner's primary taxonomy code is 333600000X with license number 2015038140 (MO). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Liberty Pharmacy. The authorized official of this NPI record is Ronald Jensen (Sole Owner)
- NPI
- 1245602598 Verify this NPI
- Provider Legal Name
- RKJ HOLDINGS LLC
- Other Organization Name
- LIBERTY PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 508-2 W. US 60 MOUNTAIN VIEW, MO 65548
- Location Phone
- (417) 256-7706
- Mailing Address
- 10370 PR 8827 WEST PLAINS, MO 65775
- Mailing Phone
- (417) 255-6713
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-27-2015
- Last Update Date
- 10-27-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- 2015038140
- License State
- MO
- Taxonomy Description
- A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3336C0003X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2154508 | OTHER (01) | PK |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245602598, enumerated as an "organization" on October 27, 2015.
The provider is located at 508-2 W. US 60 MOUNTAIN VIEW, MO 65548 and the phone number is (417) 256-7706.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
