Shawn M Freese, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302028811 Issued in MI

Practice address

1100 W Argyle St
Jackson, MI 49202-2059

Phone

(517) 788-5476

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kroger Co of Michigan

  • Community/Retail Pharmacy
  • Fenton, MI
  • NPI 1326917394
  NPD (past)
• Kroger Co of Michigan

  • Community/Retail Pharmacy
  • Jackson, MI
  • NPI 1386678142
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1063530244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 DEERFIELD DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W ARGYLE ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022059",
            "telephone_number": "517-788-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREESE",
        "first_name": "SHAWN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "5302028811",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5302028811",
            "identifier": "PHARMACY LICENSE",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Renee Freeman, LLPC
• Daniel Paul Freeman, MD
• Kayla Freeman, LLMSW
• Kimberly Sue Freese-Beal, MD
• Clark Freese, MA, LLPC
• Samantha Freiburger, CCLS
• Julie Ann French-Bloomfield, MA, LPC
• Katie June French
• Fresenius Medical Care Kidney and Hypertension, LLC
• Michael Lee Freytag, MA, LPC

• Pharmacist in Jackson, MI
• Providers in Jackson, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.