Active NPI
Freedom Apothecary Inc
- Community/Retail Pharmacy
- Onsted, MI
National Provider Identifier
1124163753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5315012728
- Legal business name
- FREEDOM APOTHECARY INC
- Practice address
- 400 N Main St
Suite C
Onsted, MI 49265-9202 - Phone
- (517) 467-7225
- Fax
- (517) 467-4718
- NPI assigned
- Feb 21, 2007
- 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
- Einar B Tjolsen, PHARMD
- Title
- Owner Pharmacist
- Phone
- (517) 467-7225
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5315012728 | MI | Primary |
Addresses
Primary practice location
400 N Main St
Suite C
Onsted, MI 49265-9202
Mailing address
PO Box 346
Onsted, MI 49265-0346
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2350611 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 2876941 | Medicaid | MI |
Other names 1
- MEDICINE SHOPPE
National Provider Directory
National Provider DirectoryLocations
400 N Main St
Ste C
Onsted, MI 49265
Phone (517) 467-7225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Onsted, MI
- NPI 1437792355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1124163753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 346",
"city": "ONSTED",
"state": "MI",
"postal_code": "492650346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"address_2": "SUITE C",
"city": "ONSTED",
"state": "MI",
"postal_code": "492659202",
"telephone_number": "517-467-7225",
"fax_number": "517-467-4718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM APOTHECARY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "TJOLSEN",
"authorized_official_first_name": "EINAR",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "517-467-7225",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5315012728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2350611",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2876941",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICINE SHOPPE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Onsted, 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.