Active NPI
Freedom Pharmacy, LLC
- Community/Retail Pharmacy
- Tampa, FL
National Provider Identifier
1336351402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH22756
- Legal business name
- FREEDOM PHARMACY, LLC
- Practice address
- 5535 Memorial Hwy
Tampa, FL 33634-7332 - Phone
- (813) 889-9779
- Fax
- (813) 889-9724
- NPI assigned
- May 3, 2007
- 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
- Tran Bui
- Title
- Authorized Official/Owner
- Phone
- (813) 889-9779
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | PH22756 | FL | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
5535 Memorial Hwy
Tampa, FL 33634-7332
Mailing address
5535 Memorial Hwy
Tampa, FL 33634-7332
Phone (813) 889-9779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009646 | Other | PK |
Other names 1
- Freedomed Pharmacy & Compounding Lab
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511913600000",
"number": "1336351402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 MEMORIAL HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336347332",
"telephone_number": "813-889-9779",
"fax_number": "813-889-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5535 MEMORIAL HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336347332",
"telephone_number": "813-889-9779",
"fax_number": "813-889-9724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2017-11-29",
"status": "A",
"authorized_official_last_name": "BUI",
"authorized_official_first_name": "TRAN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
"authorized_official_telephone_number": "813-889-9779"
},
"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": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH22756",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2009646",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Freedomed Pharmacy & Compounding Lab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.