Organization Active NPI

Freedom Pharmacy

  • Pharmacy
  • Randolph, NJ
National Provider Identifier
1578134748
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
FREEDOM PHARMACY
Practice address
1248 Sussex Turnpike
B9
Randolph, NJ 07869
Phone
(862) 324-4807
NPI assigned
Jul 8, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Linda M Witzal, RPHNPI 1952649634
Title
Ceo/Managing Member
Phone
(862) 324-4807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1248 Sussex Turnpike
B9
Randolph, NJ 07869

Mailing address

379 Dover Chester Rd
Randolph, NJ 07869-3910
Phone (862) 324-4807

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL pharmacist@autoimmunitycommunity.com Direct
CONNECT URL pharmacist@autoimmunitycommunity.com Direct
CONNECT URL pharmacist@autoimmunitycommunity.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1578134748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 DOVER CHESTER RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693910",
            "telephone_number": "862-324-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 SUSSEX TURNPIKE",
            "address_2": "B9",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "862-324-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-06-12",
        "status": "A",
        "authorized_official_last_name": "WITZAL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/MANAGING MEMBER",
        "authorized_official_telephone_number": "862-324-4807",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacist@autoimmunitycommunity.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1248 Sussex Turnpike",
            "address_2": "B9",
            "city": "Randolph",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacist@autoimmunitycommunity.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1248 Sussex Turnpike",
            "address_2": "B9",
            "city": "Randolph",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacist@autoimmunitycommunity.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1248 Sussex Turnpike",
            "address_2": "B9",
            "city": "Randolph",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.