Organization Active NPI

Freedom Pharmacy Inc

  • Community/Retail Pharmacy
  • Ponce, PR
National Provider Identifier
1801971031
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12F2339 Issued in PR
Legal business name
FREEDOM PHARMACY INC
Doing business as
Freedom Pharmacy Inc
Practice address
3051 El Tuque Industrial Park
Suites 102 and 103
Ponce, PR 00728-2201
Phone
(787) 844-2924
Fax
(787) 812-8113
NPI assigned
Oct 26, 2006
Last updated
Jun 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Pamela King
Title
Operations Manager
Phone
(787) 844-2924

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 12F2339 PR Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

3051 El Tuque Industrial Park
Suites 102 and 103
Ponce, PR 00728-2201

Mailing address

3051 El Tuque Industrial Park
Suites 102 and 103
Ponce, PR 00728-2201
Phone (787) 844-2924

Other identifiers 1

IdentifierTypeStateIssuer
4025436OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • FREEDOM PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1801971031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 EL TUQUE INDUSTRIAL PARK",
            "address_2": "SUITES 102 AND 103",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282201",
            "telephone_number": "787-844-2924",
            "fax_number": "787-812-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 EL TUQUE INDUSTRIAL PARK",
            "address_2": "SUITES 102 AND 103",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282201",
            "telephone_number": "787-844-2924",
            "fax_number": "787-812-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "787-844-2924"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "12F2339",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4025436",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREEDOM PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.