Active NPI
Freeman Pharmacy LLC
- Community/Retail Pharmacy
- Conway Springs, KS
National Provider Identifier
1982975637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2-10386
- Legal business name
- FREEMAN PHARMACY LLC
- Practice address
- 100 E Spring Ave
Conway Springs, KS 67031-3101 - Phone
- (620) 456-2220
- Fax
- (620) 456-2231
- NPI assigned
- Jan 25, 2012
- 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
- Lance Freeman
- Title
- Officer
- Phone
- (620) 456-2220
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2-10386 | KS | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
100 E Spring Ave
Conway Springs, KS 67031-3101
Mailing address
PO Box 5
Conway Springs, KS 67031-0005
Phone (620) 456-2220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133594 | Other | PK | |
| 200859750A | Medicaid | KS |
Other names 1
- Freeman Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201124001841 | KS | Part B Supplier - Pharmacy | 2769893700 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Medicine Lodge, KS; Conway Springs, KS; Kiowa, KS |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Freeman Pharmacy LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Kiowa, KS
- NPI 1255765152
-
- Long Term Care Pharmacy
- Medicine Lodge, KS
- NPI 1376300475
-
- Community/Retail Pharmacy
- Medicine Lodge, KS
- NPI 1609200682
-
- Long Term Care Pharmacy
- Conway Springs, KS
- NPI 1659139863
-
- Long Term Care Pharmacy
- Kiowa, KS
- NPI 1942066964
Locations
100 E Spring Ave
Conway Springs, KS 67031
Phone (620) 456-2220
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Conway Springs, KS
- NPI 1124478698
-
- Pharmacist
- Caldwell, KS
- NPI 1437801594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1982975637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "CONWAY SPRINGS",
"state": "KS",
"postal_code": "670310005",
"telephone_number": "620-456-2220",
"fax_number": "620-456-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SPRING AVE",
"city": "CONWAY SPRINGS",
"state": "KS",
"postal_code": "670313101",
"telephone_number": "620-456-2220",
"fax_number": "620-456-2231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEMAN PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-25",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "LANCE",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "620-456-2220"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "2-10386",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2133594",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200859750A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Freeman Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Freeman Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conway Springs, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.