NPIMap

Organization Active NPI

Freeman-Oak Hill Health System

Doing business as QuickMeds Pharmacy - Freeman West

  • Community/Retail Pharmacy
  • Neosho, MO
National Provider Identifier
1790743698
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
005793 Issued in MO
Legal business name
FREEMAN-OAK HILL HEALTH SYSTEM
Doing business as
QuickMeds Pharmacy - Freeman West
Practice address
336 S Jefferson St
Neosho, MO 64850-1769
Phone
(417) 455-4314
Fax
(417) 347-1092
NPI assigned
May 2, 2006
Last updated
Aug 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Mr. Steve W Graddy
Title
Cfo
Phone
(417) 347-6678

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 5538 MO
Community/Retail Pharmacy 3336C0003X 005793 MO Primary

Addresses

Primary practice location

336 S Jefferson St
Neosho, MO 64850-1769

Mailing address

1102 W 32ND St
Joplin, MO 64804-3503
Phone (417) 347-3792

Other identifiers 1

IdentifierTypeStateIssuer
606699502MedicaidMO

Other names 1

  • QuickMeds Pharmacy - Freeman West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930025237 MO DME Supplier - Pharmacy 8325942253 Practice locations: Joplin, MO

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Freeman Cancer Institut20 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Freeman Neosho HospitalNeosho, MO, CCN 261331 Hospital Operational/Managerial Control Apr 1, 2006
Freeman Health SystemJoplin, MO, CCN 260137 Hospital Operational/Managerial Control Apr 1, 2006
Freeman Health SystemJoplin, MO, CCN 26S137 Hospital Operational/Managerial Control (100%) May 29, 2008
Freeman Health SystemJoplin, MO, CCN 26T137 Hospital Operational/Managerial Control May 29, 2008
Freeman Neosho HospitalNeosho, MO, CCN 26Z331 Hospital Operational/Managerial Control Jul 1, 2013
Freeman Fort Scott HospitalFort Scott, KS, CCN 170210 Hospital Operational/Managerial Control Jul 27, 2025
Freeman Home Care ServicesJoplin, MO, CCN 267160 Home health agency Operational/Managerial Control (100%) Apr 1, 2006
Freeman Neosho Physician GroupNeosho, MO, CCN 268722 Rural health clinic Operational/Managerial Control (100%) Feb 1, 2014
Freeman Clinic of AndersonAnderson, MO, CCN 268773 Rural health clinic Operational/Managerial Control (100%) Jul 1, 2018

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1790743698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043503",
            "telephone_number": "417-347-3792",
            "fax_number": "417-347-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S JEFFERSON ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501769",
            "telephone_number": "417-455-4314",
            "fax_number": "417-347-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN-OAK HILL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "GRADDY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "417-347-6678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MO",
            "license": "5538",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "005793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606699502",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QuickMeds Pharmacy - Freeman West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "QuickMeds Pharmacy - Freeman West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.