Active NPI
Freedom Pharmacy
- Community/Retail Pharmacy
- Oak Hill, WV
National Provider Identifier
1366080699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FREEDOM PHARMACY
- Practice address
- 1520 Main St E
Oak Hill, WV 25901-2745 - Phone
- (304) 465-9870
- Fax
- (304) 469-2215
- NPI assigned
- Dec 17, 2019
- 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
- Mrs. Syreeta Green
- Title
- Owner
- Phone
- (865) 978-4402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1520 Main St E
Oak Hill, WV 25901-2745
Mailing address
1520 Main St E
Oak Hill, WV 25901-2745
Phone (304) 465-9870
National Provider Directory
National Provider DirectoryLocations
1520 Main St E
Oak Hill, WV 25901
Phone (304) 465-9870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1366080699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 MAIN ST E",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259012745",
"telephone_number": "304-465-9870",
"fax_number": "304-469-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 MAIN ST E",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259012745",
"telephone_number": "304-465-9870",
"fax_number": "304-469-2215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "SYREETA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "865-978-4402",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.