Active NPI
Freeman Pharmacy LLC
- Community/Retail Pharmacy
- Kiowa, KS
National Provider Identifier
1255765152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2-12997
- Legal business name
- FREEMAN PHARMACY LLC
- Practice address
- 530 Main St
Kiowa, KS 67070-1406 - Phone
- (620) 825-4782
- Fax
- (620) 825-4562
- NPI assigned
- Aug 27, 2013
- 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
- Lance Freeman
- Title
- Manager
- Phone
- (620) 825-4782
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2-12997 | KS | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Institutional Pharmacy | 3336I0012X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
530 Main St
Kiowa, KS 67070-1406
Mailing address
530 Main St
Kiowa, KS 67070-1406
Phone (620) 825-4782
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200859750E | Medicaid | KS | |
| 2141967 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201124001841 | KS | Part B Supplier - Pharmacy | 2769893700 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Medicine Lodge, KS; Conway Springs, KS; Kiowa, KS |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Freeman Pharmacy LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Medicine Lodge, KS
- NPI 1376300475
-
- Community/Retail Pharmacy
- Medicine Lodge, KS
- NPI 1609200682
-
- Long Term Care Pharmacy
- Conway Springs, KS
- NPI 1659139863
-
- Long Term Care Pharmacy
- Kiowa, KS
- NPI 1942066964
-
- Community/Retail Pharmacy
- Conway Springs, KS
- NPI 1982975637
Locations
530 Main St
Kiowa, KS 67070
Phone (620) 825-4782
311 S Iliff St
Medicine Lodge, KS 67104
Phone (620) 886-5161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1255765152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 MAIN ST",
"city": "KIOWA",
"state": "KS",
"postal_code": "670701406",
"telephone_number": "620-825-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 MAIN ST",
"city": "KIOWA",
"state": "KS",
"postal_code": "670701406",
"telephone_number": "620-825-4782",
"fax_number": "620-825-4562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEMAN PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-27",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "LANCE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "620-825-4782"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "2-12997",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200859750E",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2141967",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kiowa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.