Freeman Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Medicine Lodge, KS
NPI 1609200682 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1609200682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2-12998 (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
- Organization subpart
- No
Authorized official
- Name
- Lance Freeman
- Title
- President
- Phone
- (620) 886-5161
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201124001841 | KS | Part B Supplier - Pharmacy | 2769893700 |
2 other NPIs on this enrollment Practice locations: Medicine Lodge, KS; Conway Springs, KS; Kiowa, KS |
National Provider Directory
- Tax ID family
- Freeman Pharmacy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2-12998 | KS | Yes |
| 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
Other providers in Medicine Lodge, KS
- Barber County Home Health Agency
- Barber County North Usd 254
- County of Barber
- Raeann Mae Davidson
- Freeman Pharmacy LLC
- Anna Arlene Goossen
- John C Hagood
- Jill Anne Helmer
- Hope Elizabeth Hewitt
- Horizons Mental Health Center, Inc.
All providers in Medicine Lodge, KS · Community/Retail Pharmacy in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.