Active NPI
Freedom Apothecary Inc
- Community/Retail Pharmacy
- Saline, MI
National Provider Identifier
1003905589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301007376
- Legal business name
- FREEDOM APOTHECARY INC
- Doing business as
- Medicine Shoppe
- Practice address
- 75 E Bennett St
Saline, MI 48176-1204 - Phone
- (734) 429-0509
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Martha L Tjolsen, RPH
- Title
- Owner/Pharmacist
- Phone
- (734) 429-0509
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301007376 | MI | Primary |
Addresses
Primary practice location
75 E Bennett St
Saline, MI 48176-1204
Mailing address
PO Box 663
75 E Bennett
Saline, MI 48176-0663
Phone (734) 429-0509
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2341054 | Other | MI | NCPDP NUMBER |
| 1773930 | Medicaid | MI |
Other names 1
- Medicine Shoppe
National Provider Directory
National Provider Directory- Tax ID family
- Freedom Apothecary Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Adrian, MI
- NPI 1205915931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1003905589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 663",
"address_2": "75 E BENNETT",
"city": "SALINE",
"state": "MI",
"postal_code": "481760663",
"telephone_number": "734-429-0509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 E BENNETT ST",
"city": "SALINE",
"state": "MI",
"postal_code": "481761204",
"telephone_number": "734-429-0509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM APOTHECARY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "TJOLSEN",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "734-429-0509",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301007376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "2341054",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1773930",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Shoppe",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.