NPIMap

Organization Active NPI

Freeman Pharmacy LLC

  • Community/Retail Pharmacy
  • Medicine Lodge, KS
National Provider Identifier
1609200682
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-12998 Issued in KS
Legal business name
FREEMAN PHARMACY LLC
Practice address
311 S Iliff St
Medicine Lodge, KS 67104-1905
Phone
(620) 886-5161
NPI assigned
Aug 27, 2013
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Lance Freeman
Title
President
Phone
(620) 886-5161

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 2-12998 KS Primary
Institutional Pharmacy 3336I0012X 2-12998 KS
Long Term Care Pharmacy 3336L0003X 2-12998 KS
Specialty Pharmacy 3336S0011X 2-12998 KS

Addresses

Primary practice location

311 S Iliff St
Medicine Lodge, KS 67104-1905

Mailing address

311 S Iliff St
Medicine Lodge, KS 67104-1905
Phone (620) 886-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124001841 KS Part B Supplier - Pharmacy 2769893700 2 other NPIs on this enrollment
Practice locations: Medicine Lodge, KS; Conway Springs, KS; Kiowa, KS

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Freeman Pharmacy LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1609200682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S ILIFF ST",
            "city": "MEDICINE LODGE",
            "state": "KS",
            "postal_code": "671041905",
            "telephone_number": "620-886-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S ILIFF ST",
            "city": "MEDICINE LODGE",
            "state": "KS",
            "postal_code": "671041905",
            "telephone_number": "620-886-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-886-5161"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-12998",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "KS",
            "license": "2-12998",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KS",
            "license": "2-12998",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "KS",
            "license": "2-12998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medicine Lodge, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.