Jeffrey Carl Friedman, RPH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2010038519 Issued in MO

Practice address

3315 S Campbell Ave
Springfield, MO 65807-4914

Phone

(417) 887-0855

NPI assigned

Nov 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1235730011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 S FLORENCE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073017",
            "telephone_number": "417-631-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074914",
            "telephone_number": "417-887-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JEFFREY",
        "middle_name": "CARL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2010038519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul C. Freiman, MD
• Karl C. Freund, LCSW
• Floyd Frey
• Tyler Bennett Frieda, PHARMD
• Taylor Nicole Friedli, LMSW
• Nathan Lynn Friend
• Mellissa Rae Frietchen, CERTIFIED ORTHOTIST
• Sarah Fringer
• Janet Fritsch, MS, SLP
• Jill Elizabeth Fritz, MSN, ANP-BC

• Community/Retail Pharmacy in Springfield, MO
• Providers in Springfield, MO by specialty
• Community/Retail Pharmacy in Missouri

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