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LIBERTY DRUG STORE, INC.
NPI 1639124183
Pharmacist in Liberty, MS

Active since May 23, 2006
110 E MAIN ST, LIBERTY, MS 39645(601) 657-8051(601) 657-8049 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liberty Drug Store, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY DRUG STORE, INC. (NPI 1639124183) is a healthcare organization registered as a pharmacist in Liberty, Mississippi and active in the NPI registry since May 2006. The organization lists Ronald Evans Blalock, President/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1639124183
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameLIBERTY DRUG STORE, INC.
Location Address110 E MAIN STLiberty, MS 39645
Mailing AddressPo Box 217Liberty, MS 39645-0217 · (601) 657-8051 · Fax (601) 657-8049
Phone(601) 657-8051
Fax(601) 657-8049
Organization SubpartNo
Authorized OfficialRonald Evans BlalockPresident/pharmacist · (601) 657-8051
Enumeration DateMay 23, 2006
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
✔ NPI 1639124183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MS · T08879
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
110 E MAIN ST, Liberty, MS 39645
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Other Identifiers 2

Medicaid00330466MS
Medicaid00440833MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Liberty Drug Store Inc carries, from the Medicare DMEPOS supplier directory.

Liberty Drug Store Inc

DMEPOS supplier · Liberty, MS
⋮

Does not accept Medicare assignment

Liberty Drug Store Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20644673
Medicare Participant SinceJanuary 1, 1998
Supplier Location110 Main StLiberty, MS 39645
Phone(601) 657-8041
Supplier Specialties
Pharmacy

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Drug Store, Inc.'s NPI number?

The NPI number for Liberty Drug Store, Inc. is 1639124183. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Liberty Drug Store, Inc. located?

Liberty Drug Store, Inc. is located at 110 E Main St, Liberty, MS 39645. The listed phone number is (601) 657-8051.

What is Liberty Drug Store, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Liberty Drug Store, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Liberty Drug Store Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Liberty Drug Store, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 52 other insurers list Liberty Drug Store, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Drug Store, Inc. was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.