Organization Active NPI

Freedom Apothecary Inc

  • Community/Retail Pharmacy
  • Onsted, MI
National Provider Identifier
1124163753
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5315012728 Issued in MI
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2350611OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2876941MedicaidMI

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.