FREEDOM PHARMACY LLC (NPI# 1942687116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942687116 |
| Entity Type | Organization |
| Organization Name | FREEDOM PHARMACY LLC |
| Practice Address |
3605 Edgmont Ave Building B Brookhaven PA 19015-2807 |
| Practice Telephone | 8555397865 |
| Practice Fax Number | 8662501718 |
| Mailing Telephone | 8555397865 |
| Mailing Fax Number | 8662501718 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | MRS. KELLY A WICK (PHARMACY MANAGER) |
| Authorized Official Telephone | 8555397865 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP481827 | PA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316397839 | Freedom Pharmacy LLC | Pharmacy | 7339 Airport Fwy, Richland Hills, TX 76118-6902 | 2016-06-15 |
| 1316251432 | Freedom Pharmacy LLC | Pharmacy | 710 4th St, Mena, AR 71953-3314 | 2010-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FREEDOM PHARMACY LLC | 3605 Edgmont Avenue, Back Bldg. Suite 1, Brookhaven, Pennsylvania 19015 |
| Virginia Business Entities | FREEDOM PHARMACY LLC | 3605 Edgmont Ave, Back Bldg Ste 1, Brookhaven, Pennsylvania 19015 |
| Street Address |
3605 EDGMONT AVE BUILDING B |
| City | BROOKHAVEN |
| State | PA |
| Zip Code | 19015-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235540725 | Aubrey Delvescovo | Physician Assistant | 3605 Edgmont Ave, Brookhaven, PA 19015-2807 | 2014-05-19 |
| 1538624408 | Brett Mccombs | Physical Therapy Assistant | 3605 Edgmont Ave, Brookhaven, PA 19015-2807 | 2019-02-05 |
| 1538669544 | Jennifer Doreen Howard | Pharmacist | 3605 Edgmont Ave, Brookhaven, PA 19015-2807 | 2018-02-16 |
| 1477077030 | Marijke Vanleeuwen | Physical Therapist | 3605 Edgmont Ave, Brookhaven, PA 19015-2807 | 2017-07-26 |
| 1205359858 | Natasha Bica | Physical Therapist | 3605 Edgmont Ave, Brookhaven, PA 19015-2807 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1932650926 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 4930 Edgemont Ave, Brookhaven, PA 19015 | 2016-10-14 |
| 1982009254 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 225 Upland Road, Brookhaven, PA 19015 | 2014-10-29 |
| 1790959633 | Darlene M Longstreth | Massage Therapist | 3766 Susan Lane, Kinderssage, Brookhaven, PA 19015 | 2008-04-22 |
| 1538205463 | Scott Thomas Steltz | Pharmacist | 601 Upland Ave Suite 112, Steltec Pharmacy - Crozier Mills Enterprise Center, Upland, PA 19015 | 2007-01-29 |
| 1083769327 | Parkside Fire Company | Ambulance | 107 West Roland, Parkside, PA 19015 | 2007-01-25 |
| 1295894699 | Elizabeth Katherine Deegan | Counselor | 4928 Shepard St., Brookhaven, PA 19015 | 2006-12-08 |
| 1013093244 | Jeffrey Keith Rosen | Family Medicine | 100 East Brookhaven Rd, Brookhaven, PA 19015 | 2006-10-31 |
| 1013015726 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3298 Edgemont Ave, Brookhaven, PA 19015 | 2006-09-20 |
| 1285743187 | Micheal A Erbicella | Dentist | 3213 Edgmont Ave, Brookhaven, PA 19015 | 2006-08-30 |
| Find all providers in zip 19015 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114047081 | Bakers Pharmacy Inc | Pharmacy | 212 N Jackson St, Brookhaven, MS 39601-3040 | 2007-04-02 |
| 1689771453 | Pathmark Stores Inc | Pharmacy | 5005 Edgmont Ave, Brookhaven, PA 19015-1202 | 2006-09-20 |
| 1093720252 | Walgreen Co | Pharmacy | 719 Brookway Blvd, Brookhaven, MS 39601-2639 | 2006-07-29 |
| 1245554559 | Clint's Pharmacy Inc | Pharmacy | 515 Brookway Blvd, Brookhaven, MS 39601-3266 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 19015 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.