NPIMap

Organization Active NPI

Freeman Pharmacy, Inc.

  • Pharmacist
  • Tuskegee, AL
National Provider Identifier
1760547301
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12782 Issued in AL
Legal business name
FREEMAN PHARMACY, INC.
Practice address
209 W MLK Hwy
Suite D
Tuskegee, AL 36083
Phone
(334) 727-0047
Fax
(334) 727-0886
NPI assigned
Dec 26, 2006
Last updated
Nov 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Mr. Mark FreemanNPI 1184380842
Title
Owner/Pharmacist
Phone
(334) 727-0047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 12782 AL
Pharmacist 183500000X 12782 AL Primary

Addresses

Primary practice location

209 W MLK Hwy
Suite D
Tuskegee, AL 36083

Mailing address

209 W. MLK Hwy.
Suite D
Tuskegee, AL 36083
Phone (334) 727-0047

Other identifiers 2

IdentifierTypeStateIssuer
009910826MedicaidAL
510G730009OtherMASS IMMUNIZATION PTAN

National Provider Directory

National Provider Directory

Locations

209 W Martin Luther King Hwy
Ste D
Tuskegee, AL 36083
Phone (334) 727-0047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1760547301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W. MLK HWY.",
            "address_2": "SUITE D",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "36083",
            "telephone_number": "334-727-0047",
            "fax_number": "334-727-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MLK HWY",
            "address_2": "SUITE D",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "36083",
            "telephone_number": "334-727-0047",
            "fax_number": "334-727-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "334-727-0047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "12782",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910826",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS IMMUNIZATION PTAN",
            "identifier": "510G730009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuskegee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.