Individual provider Active NPI

Madeline Freemole

  • Pharmacist
  • Arvada, CO
National Provider Identifier
1508312414
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA.0021428 Issued in CO
Practice address
6603 Wadsworth Blvd
Arvada, CO 80003-3945
Phone
(720) 214-5117
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21428 CO
Pharmacist 183500000X PHA.0021428 CO Primary

Addresses

Primary practice location

6603 Wadsworth Blvd
Arvada, CO 80003-3945

Mailing address

6603 Wadsworth Blvd
Arvada, CO 80003-3945
Phone (720) 214-5117

Other practice location 1

1600 Coalton Rd
Superior, CO 80027-4630
Phone (303) 465-3024

Other names 1

  • Madeline Freemole Former name

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

State licenses

LicenseStateTypeSpecialty
PHA.0021428COMDPharmacist
21428COMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1508312414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800033945",
            "telephone_number": "720-214-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800033945",
            "telephone_number": "720-214-5117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Coalton Rd",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "CO",
            "postal_code": "800274630",
            "country_code": "US",
            "telephone_number": "303-465-3024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMOLE",
        "first_name": "MADELINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "21428",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0021428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "FREEMOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.