Organization Active NPI

Freetown Pharmacy LLC

Doing business as Freetown Pharmacy

  • Community/Retail Pharmacy
  • Cincinnati, OH
National Provider Identifier
1821857400
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FREETOWN PHARMACY LLC
Doing business as
Freetown Pharmacy
Practice address
5082 Glencrossing Way
Cincinnati, OH 45238-3360
Phone
(513) 376-7635
Fax
(513) 376-7636
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Abdul Salam Koroma, PHARMDNPI 1912500927
Title
Owner
Phone
(614) 843-3671

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5082 Glencrossing Way
Cincinnati, OH 45238-3360

Mailing address

5082 Glencrossing Way
Cincinnati, OH 45238-3360
Phone (513) 376-7635

Other names 1

  • Freetown Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5100 Glencrossing Way
Ste 5082
Cincinnati, OH 45238

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": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1821857400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5082 GLENCROSSING WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383360",
            "telephone_number": "513-376-7635",
            "fax_number": "513-376-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5082 GLENCROSSING WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383360",
            "telephone_number": "513-376-7635",
            "fax_number": "513-376-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "KOROMA",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "SALAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-843-3671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freetown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freetown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.