Freedom Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FREEDOM PHARMACY LLC

Practice address

3901 Maplewood Dr
Sulphur, LA 70663-6351

Phone

(337) 287-9599

NPI assigned

Sep 5, 2023

Organization subpart

No

Name

Dr. Larry Dale Collins Jr., PHARMDNPI 1134511637

Title

Pic/Owner

Phone

(337) 287-9599

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Dale Collins Jr., PHARMD

  • Pharmacist
  • Sulphur, LA
  • NPI 1134511637
  NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2024.

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1013793264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MAPLEWOOD DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636351",
            "telephone_number": "337-287-9599",
            "fax_number": "337-287-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MAPLEWOOD DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636351",
            "telephone_number": "337-287-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "337-287-9599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Forbes, LPC
• Glyn Joseph Foreman II, R.PH.
• Kevin Thompson Fortenberry, PHARM D
• Frankie Alisha Coaching and Consulting LLC
• Steven Franks, PHD
• Fresenius Medical Care Sulphur, LLC
• Jason Brian Fuqua, M.D.
• Kelly Marie Fuqua, M.D.
• Kenneth Lane Gary, N.P.
• Stephanie Ann Gary

• All providers in Sulphur, LA
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.