Active NPI
Freeze Pharmacy LLC
Doing business as Greenfield Pharmacy
- Community/Retail Pharmacy
- Greenfield, MO
National Provider Identifier
1962973743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FREEZE PHARMACY LLC
- Doing business as
- Greenfield Pharmacy
- Practice address
- 105 N Grand St Ste 1
Greenfield, MO 65661-8198 - Phone
- (417) 637-2909
- NPI assigned
- Dec 5, 2018
- 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
- Allison Freeze
- Title
- Owner
- Phone
- (620) 388-5826
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
105 N Grand St Ste 1
Greenfield, MO 65661-8198
Mailing address
PO Box 158
Greenfield, MO 65661-0158
Other names 1
- Greenfield Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190513001570 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 2769725878 | Practice locations: Greenfield, MO |
National Provider Directory
National Provider DirectoryLocations
105 N Grand St
#1
Greenfield, MO 65661
Phone (417) 637-2909
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.
-
- Pharmacist
- Pratt, KS
- NPI 1518347293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543968000000",
"number": "1962973743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 158",
"city": "GREENFIELD",
"state": "MO",
"postal_code": "656610158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N GRAND ST STE 1",
"city": "GREENFIELD",
"state": "MO",
"postal_code": "656618198",
"telephone_number": "417-637-2909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEZE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A",
"authorized_official_last_name": "FREEZE",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "620-388-5826"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Greenfield Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenfield, MO
- Citizens Memorial Health Care Foundation
- Citizens Memorial Healthcare (Dade County Family Medical Center)
- Dade County Health Center (Dade County Health Department)
- Dade County Nursing Home District
- Freeze Pharmacy LLC (Greenfield Pharmacy)
- Cody Freeze, PHARMD
- Cathy Friend, PTA
- Greenfield Pharmacy Inc
- Greenfield Pharmacy Inc (Greenfield Pharmacy)
- Greenfield R-IV Schools
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.