Active NPI
Freedom Apothecary, Inc.
- Community/Retail Pharmacy
- Adrian, MI
National Provider Identifier
1205915931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301006254
- Legal business name
- FREEDOM APOTHECARY, INC.
- Doing business as
- Medicine Shoppe Pharmacy
- Practice address
- 905 N Main St
#4
Adrian, MI 49221-2168 - Phone
- (517) 273-7300
- Fax
- (517) 263-7370
- NPI assigned
- Nov 3, 2006
- 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
- Dr. Einar B Tjolsen, PHARM.D.
- Title
- Pharmacist/Owner
- Phone
- (517) 263-7300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301006254 | MI | Primary |
Addresses
Primary practice location
905 N Main St
#4
Adrian, MI 49221-2168
Mailing address
905 N Main St
#4
Adrian, MI 49221-2168
Phone (517) 273-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NABP | Other | MI | 2327535 |
Other names 1
- Medicine Shoppe Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Freedom Apothecary Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Saline, MI
- NPI 1003905589
Locations
905 N Main St
Ste 4
Adrian, MI 49221
Phone (517) 273-7300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1205915931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 N MAIN ST",
"address_2": "#4",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492212168",
"telephone_number": "517-273-7300",
"fax_number": "517-263-7370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 N MAIN ST",
"address_2": "#4",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492212168",
"telephone_number": "517-273-7300",
"fax_number": "517-263-7370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM APOTHECARY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"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": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "517-263-7300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301006254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "2327535",
"identifier": "NABP",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Shoppe Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Adrian, 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.