Organization Active NPI

Freedom Pharmacy

  • Community/Retail Pharmacy
  • Oak Hill, WV
National Provider Identifier
1366080699
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Dec 17, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.