Freedom Medical Supplies LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FREEDOM MEDICAL SUPPLIES LLC.

Practice address

423 W Yakima Ave
Yakima, WA 98902-3408

Phone

(509) 469-2512

Fax

(509) 469-2406

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kyle Kenneth Rose

Title

Director of Operations

Phone

(509) 469-2512

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1285979708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 W YAKIMA AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023408",
            "telephone_number": "509-469-2512",
            "fax_number": "509-469-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W YAKIMA AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023408",
            "telephone_number": "509-469-2512",
            "fax_number": "509-469-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL SUPPLIES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "509-469-2512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285979708",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nola R Fraser, OT
• Duane A Frazier, PA-C
• Fred Meyer Stores Inc
• Fred Thysell MD
• Frederick a Montgomery MD Inc PS
• Brandi Lee Freeze
• Fenice Fregoso
• Kendra Deanne French, CRNP
• Amos Frisbie
• Heather Ann Fritz, OTR/L

• Durable Medical Equipment & Medical Supplies in Yakima, WA
• Providers in Yakima, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.