Organization Active NPI

Freeman Pharmacy, Inc.

  • Pharmacist
  • Tuskegee, AL
National Provider Identifier
1902961618
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12782 Issued in AL
Legal business name
FREEMAN PHARMACY, INC.
Practice address
209 W MLK Hwy
Suite D
Tuskegee, AL 36083-2104
Phone
(334) 727-0047
Fax
(334) 727-0886
NPI assigned
Dec 22, 2006
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Mr. Markel Kyle Freeman, RPH
Title
Owner
Phone
(334) 727-0047

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 12782 AL
Pharmacist 183500000X 12782 AL Primary
Specialty Pharmacy 3336S0011X 12782 AL
Compounding Pharmacy 3336C0004X 12782 AL

Addresses

Primary practice location

209 W MLK Hwy
Suite D
Tuskegee, AL 36083-2104

Mailing address

209 W MLK Hwy
Suite D
Tuskegee, AL 36083-2104
Phone (334) 727-0047

Other identifiers 1

IdentifierTypeStateIssuer
100039123MedicaidAL

National Provider Directory

National Provider Directory

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": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1902961618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W MLK HWY",
            "address_2": "SUITE D",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360832104",
            "telephone_number": "334-727-0047",
            "fax_number": "334-727-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MLK HWY",
            "address_2": "SUITE D",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360832104",
            "telephone_number": "334-727-0047",
            "fax_number": "334-727-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MARKEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-727-0047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "12782",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12782",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "AL",
            "license": "12782",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AL",
            "license": "12782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100039123",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuskegee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.