Active NPI
Jill Freitas
- Pharmacist
- Mount Vernon, MO
National Provider Identifier
1851980478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044750
- Practice address
- 1319 S Landrum St Ste E
Mount Vernon, MO 65712-1976 - Phone
- (417) 461-1100
- NPI assigned
- Jan 18, 2021
- Last updated
- Jan 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044750 | MO | Primary |
Addresses
Primary practice location
1319 S Landrum St Ste E
Mount Vernon, MO 65712-1976
Mailing address
1319 S Landrum St Ste E
Mount Vernon, MO 65712-1976
Phone (417) 461-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044750 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landrum Drug Inc | Current | Accepting new patients |
Locations
1319 S Landrum St
Ste E
Mount Vernon, MO 65712
Phone (417) 461-1100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, MO
Sources for this page
- 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.