Active NPI
Freedom Pharmacy and Medical Supply
Doing business as TPS/Liberty Rx
- Community/Retail Pharmacy
- Houston, TX
National Provider Identifier
1861772501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 27597
- Legal business name
- FREEDOM PHARMACY AND MEDICAL SUPPLY
- Doing business as
- TPS/Liberty Rx
- Practice address
- 6206 Dashwood Dr
Houston, TX 77081-4214 - Phone
- (713) 778-0160
- Fax
- (713) 778-0125
- NPI assigned
- Aug 25, 2011
- Last updated
- May 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Taylor
- Title
- Manager
- Phone
- (713) 778-0160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 27597 | TX | Primary |
Addresses
Primary practice location
6206 Dashwood Dr
Houston, TX 77081-4214
Mailing address
6206 Dashwood Dr
Houston, TX 77081-4214
Phone (713) 778-0160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2131711 | Other | PK | |
| 148358 | Medicaid | TX |
Other names 1
- TPS/Liberty Rx
National Provider Directory
National Provider DirectoryLocations
6206 Dashwood Dr
Houston, TX 77081
Phone (713) 778-0160
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.
-
- Family Nurse Practitioner
- Beaumont, TX
- NPI 1073514097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717027200000",
"number": "1861772501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6206 DASHWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770814214",
"telephone_number": "713-778-0160",
"fax_number": "713-778-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6206 DASHWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770814214",
"telephone_number": "713-778-0160",
"fax_number": "713-778-0125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM PHARMACY AND MEDICAL SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-25",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "713-778-0160"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "27597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2131711",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148358",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TPS/Liberty Rx",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TPS/Liberty Rx",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.