Freedom Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

FREEDOM PHARMACY, LLC

Practice address

17330 Farmington Rd
Livonia, MI 48152-3158

Phone

(248) 722-8782

NPI assigned

Oct 17, 2017

Last updated

Oct 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Wiercioch

Title

R.PH.

Phone

(248) 722-8782

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1821509845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523158",
            "telephone_number": "248-722-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "WIERCIOCH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "R.PH.",
        "authorized_official_telephone_number": "248-722-8782"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "5301011269",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel James Frederick
• Sarah Frederick
• Timothy G Fredericks, P.T.
• Carol R. Freedman-Doan, PHD, LP
• Freedom Medical Clinic PC
• Andre Freeman
• Dennis Merton Freeman, DDS
• Kaylee Freeman
• Pat T. Freeman, D.O.
• Jessica Freile

• Pharmacy in Livonia, MI
• Providers in Livonia, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.