Jill Freitas

Primary specialty

PharmacistTaxonomy code 183500000X

License

044750 Issued in MO

Practice address

1319 S Landrum St Ste E
Mount Vernon, MO 65712-1976

Phone

(417) 461-1100

NPI assigned

Jan 18, 2021

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Landrum Drug Inc

  • Community/Retail Pharmacy
  • Mount Vernon, MO
  • NPI 1821264433
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2021.

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1851980478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 S LANDRUM ST STE E",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121976",
            "telephone_number": "417-461-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S LANDRUM ST STE E",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121976",
            "telephone_number": "417-461-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "044750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821264433",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Eden, PHARMACIST
• Ernest Edwin Emmerton III, D.O.
• Kimberly Susan Evans, DH
• David Lee Ewing, D.D.S.
• Adam Freitas
• Brooklyn Ruth Fulk, DPT
• Joe A Gardner, MD
• Brian Christopher George, HIS
• John Scott George, BC-HIS
• Glenda Marie Gillaspy, BC-HIS

• All providers in Mount Vernon, MO
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.