Active NPI
Brandy Freed, R.PH.
- Pharmacist
- Crowley, LA
National Provider Identifier
1689982902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16773
- Practice address
- 704 N Parkerson Ave
Crowley, LA 70526-4355 - Phone
- (337) 783-9084
- Fax
- (337) 783-9085
- NPI assigned
- Sep 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16773 | LA | Primary |
| Pharmacist | 183500000X | PD10723 | AR |
Addresses
Primary practice location
704 N Parkerson Ave
Crowley, LA 70526-4355
Mailing address
704 N Parkerson Ave
Crowley, LA 70526-4355
Phone (337) 783-9084
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16773 | Other | LA | LA BOARD OF PHARMACY |
| 1895814 | Medicaid | LA |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16773 | LA | MD | Clinical Social Worker |
| PD10723 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Pharmacy Services | Current | Accepting new patients | |
| Benoits Inc | Past | Accepting new patients |
Locations
704 N Parkerson Ave
Crowley, LA 70526
Phone (337) 783-9084
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1689982902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 N PARKERSON AVE",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705264355",
"telephone_number": "337-783-9084",
"fax_number": "337-783-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 N PARKERSON AVE",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705264355",
"telephone_number": "337-783-9084",
"fax_number": "337-783-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "BRANDY",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16773",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD10723",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA BOARD OF PHARMACY",
"identifier": "16773",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1895814",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crowley, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.