Freedom Compounding Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

FREEDOM COMPOUNDING PHARMACY LLC

Practice address

464 Stillwater Rd
Willernie, MN 55090

Phone

(651) 666-2117

Fax

(651) 666-2113

NPI assigned

Jul 29, 2026

Last updated

Jul 29, 2026By 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

Michael Fischer, PHARMDNPI 1104534908

Title

Owner

Phone

(651) 666-2117

Specialties & licenses 1

Addresses

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.

• Michael Fischer, PHARMD

  • Pharmacist
  • Willernie, MN
  • NPI 1104534908
  NPD (past) Authorized official

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1902728025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "WILLERNIE",
            "state": "MN",
            "postal_code": "550900298",
            "telephone_number": "651-666-2117",
            "fax_number": "651-666-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 STILLWATER RD",
            "city": "WILLERNIE",
            "state": "MN",
            "postal_code": "55090",
            "telephone_number": "651-666-2117",
            "fax_number": "651-666-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-666-2117",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Fischer, PHARMD

• Compounding Pharmacy in Willernie, MN
• Providers in Willernie, MN by specialty
• Compounding Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.