Amy Rene Freeman, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

44281 Issued in TX

Practice address

717 N Broad St
Edenton, NC 27932-1430

Phone

(252) 482-0194

Fax

(252) 482-0211

NPI assigned

Aug 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Rene Primmer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Edenton, NC
  • NPI 1487974234
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1699080424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N BROAD ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321430",
            "telephone_number": "252-482-0194",
            "fax_number": "252-482-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N BROAD ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321430",
            "telephone_number": "252-482-0194",
            "fax_number": "252-482-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "AMY",
        "middle_name": "RENE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44281",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "23566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PRIMMER",
            "middle_name": "RENE",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Traci Etheridge
• Eye Care of Edenton, O.D., PLLC
• Faith Counseling and Clinical Consultation Services, PLLC
• Rachel Elizabeth Ferrell, FNP-C
• FMS Ena Home, LLC
• Sheneice Necole Freeman
• Michael David Gavigan, M.D.
• Tiffany Gilliam, DACM, BCND, M.AC, YS
• Travis Maurice Gilliard, R.PH.
• Lauren Goodwin, PTA

• Pharmacist in Edenton, NC
• Providers in Edenton, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.