Active NPI
Karen Wallace Freeman, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Brookhaven, MS
National Provider Identifier
1760814370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10499
- Practice address
- 940 Brookway Blvd
Brookhaven, MS 39601-2644 - Phone
- (601) 835-9157
- Fax
- (601) 835-9152
- NPI assigned
- Aug 6, 2013
- Last updated
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10499 | MS | Primary |
Addresses
Primary practice location
940 Brookway Blvd
Brookhaven, MS 39601-2644
Mailing address
940 Brookway Blvd
Brookhaven, MS 39601-2644
Phone (601) 835-9157
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10499 | MS | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Brookhaven, MS
- NPI 1285344689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1760814370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 BROOKWAY BLVD",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012644",
"telephone_number": "601-835-9157",
"fax_number": "601-835-9152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 BROOKWAY BLVD",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012644",
"telephone_number": "601-835-9157",
"fax_number": "601-835-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "KAREN",
"middle_name": "WALLACE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MS",
"license": "10499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, MS
- Focus Solutions Mental Health Resources LLC
- For Your Glory Cranial Prosthetics
- Kline Foster
- Freds Stores of Tennessee Inc (Freds Pharmacy 1171)
- Ellisann Claire McInnis Freeman, OTR/L
- Fresenius Medical Care East McComb Dialysis, LLC (Fresenius Kidney Care Brookhaven)
- Amy Gaines, LCSW
- Emily Catherine Gandenberger, CPNP-PC
- Joseph Phillip Garbo, DPM
- Abby Furr Garcia, PHARM D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.