Active NPI
James Ricky Freeman III, PHARM. D.
- Pharmacist
- Mesa, AZ
National Provider Identifier
1396397451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S023983
- Practice address
- 1142 W Guadalupe Rd
Mesa, AZ 85210-7602 - Phone
- (480) 345-7367
- NPI assigned
- Jul 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S023983 | AZ | Primary |
Addresses
Primary practice location
1142 W Guadalupe Rd
Mesa, AZ 85210-7602
Mailing address
1570 W Maggio Way Apt B2060
Chandler, AZ 85224-8180
Phone (602) 919-8228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S023983 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1396397451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 W MAGGIO WAY APT B2060",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852248180",
"telephone_number": "602-919-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 W GUADALUPE RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852107602",
"telephone_number": "480-345-7367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JAMES",
"middle_name": "RICKY",
"name_suffix": "III",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-09",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S023983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.