Individual provider Active NPI

Zakery Jon Freese, PHARMD.

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1710267760
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22072 Issued in NC
Practice address
3534 Mount Holly Huntersville Rd
Charlotte, NC 28216-8644
Phone
(704) 399-5823
NPI assigned
Aug 23, 2011
Last updated
Aug 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22072 NC Primary

Addresses

Primary practice location

3534 Mount Holly Huntersville Rd
Charlotte, NC 28216-8644

Mailing address

5201 Roundstone Way Apt 206
Charlotte, NC 28216-2422
Phone (724) 272-4981

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
22072NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1710267760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 ROUNDSTONE WAY APT 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162422",
            "telephone_number": "724-272-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 MOUNT HOLLY HUNTERSVILLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168644",
            "telephone_number": "704-399-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREESE",
        "first_name": "ZAKERY",
        "middle_name": "JON",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.