Freedom Diabetic Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FREEDOM DIABETIC SUPPLIES, INC.

Practice address

4407 Providence LN Ste B
Winston Salem, NC 27106-3264

Phone

(910) 221-4532

Fax

(910) 221-7835

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer C. Young

Title

President

Phone

(910) 221-4532

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053402768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 PROVIDENCE LN STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063264",
            "telephone_number": "910-221-4532",
            "fax_number": "910-221-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 PROVIDENCE LN STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063264",
            "telephone_number": "910-221-4532",
            "fax_number": "910-221-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM DIABETIC SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-221-4532"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shy'Ann Frazier
• Freddie-Claires Integrated Services LLC
• Brent Frederick, D.O.
• Barry Ira Freedman, MD
• Jack Freedman
• Ahunna Eberechi Freeman, PHARMD
• Bridger Hayes Freeman, MD
• Connie Sue Freeman, CRNA
• David Holt Freeman, O.D.
• Jonathan Hayes Freeman, FBPPC

• Durable Medical Equipment & Medical Supplies in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.