Freedom Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000231 Issued in IL

Legal business name

FREEDOM MEDICAL SUPPLY LLC

Practice address

2525 N Main St
Decatur, IL 62526-3227

Phone

(217) 422-2220

Fax

(217) 422-2223

NPI assigned

Jun 10, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Candace Poe, ATP

Title

Owner/ Manager

Phone

(217) 422-2220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1699779322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263227",
            "telephone_number": "217-422-2220",
            "fax_number": "217-422-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263227",
            "telephone_number": "217-422-2220",
            "fax_number": "217-422-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "217-422-2220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Foster
• Rachel Fox
• Francis C Lee, MD SC
• William B Franklin, M.D.
• Grace Frazier, PHARMD
• Hailee Freeman
• Alan F Frigy, MD
• Van J Frownfelter, RPH
• Princessbrittni Nicole Fryer
• Mario Paul Fucinari, DC

• Durable Medical Equipment & Medical Supplies in Decatur, IL
• Providers in Decatur, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.