FREEDOM PHARMACY OF ARIZONA AT RED MOUNTAIN LLC (NPI# 1982152732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982152732 |
| Entity Type | Organization |
| Organization Name | FREEDOM PHARMACY OF ARIZONA AT RED MOUNTAIN LLC |
| Other Organization Name | FREEDOM PHARMACY OF ARIZONA AT RED MOUNTAIN |
| Practice Address |
8035 E Brown Rd Bldg 4, Ste C Mesa AZ 85207-3901 |
| Mailing Address |
8035 E Brown Rd Bldg 4, Ste C Mesa AZ 85207 |
| Practice Telephone | 4805657222 |
| Practice Fax Number | 4804990396 |
| Mailing Telephone | 4805657222 |
| Mailing Fax Number | 4804990396 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | CHRIS SHALER (PRESIDENT) |
| Authorized Official Telephone | 4809939646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y006920 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 238769 | 05 | |
| PK | 2164187 | 01 |
| Other Name | Type Code |
|---|---|
| Freedom Pharmacy of Arizona at Red Mountain | Doing Business As Name - Organization |
| Street Address |
8035 E BROWN RD BLDG 4, STE C |
| City | MESA |
| State | AZ |
| Zip Code | 85207-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760449490 | Stacy Deann Veldhuizen Mickey | Family Medicine | 8035 E Brown Rd, Bldg 4, Mesa, AZ 85207 | 2006-04-27 |
| 1609486216 | Heritage Village Bldg1 LLC | Alzheimer Center (Dementia Center) | 8035 E Brown Rd, Mesa, AZ 85207-3901 | 2020-08-07 |
| 1790395309 | Heritage Village Bldg9 LLC | Assisted Living Facility | 8035 E Brown Rd, Mesa, AZ 85207-3901 | 2020-08-07 |
| 1467962506 | Heritage Village Bldg5, LLC | Assisted Living Facility | 8035 E Brown Rd, Mesa, AZ 85207-3901 | 2017-10-03 |
| 1821508961 | Heritage Village Bldg3, LLC | Assisted Living Facility | 8035 E Brown Rd, Mesa, AZ 85207-3901 | 2017-10-03 |
| 1922518067 | Heritage Village Bldg2, LLC | Assisted Living Facility | 8035 E Brown Rd, Mesa, AZ 85207-3901 | 2017-10-03 |
| 1811407950 | Heritage Village Bldg6, LLC | Assisted Living Facility | 8035 E Brown Rd, Mesa, AZ 85207-3901 | 2017-10-03 |
| 1235675703 | Samuel Hulsey | Pharmacist | 8035 E Brown Rd, Bldg 4, Suite-c, Mesa, AZ 85207-3901 | 2017-01-09 |
| 1508310665 | East Mesa Family Doctors Pllc | Family Medicine | 8035 E Brown Rd, Bldg 4, Mesa, AZ 85207 | 2016-08-06 |
| 1740637651 | Heritage Village 3 LLC | Assisted Living Facility | 8035 E Brown Rd, Bldg#3, Mesa, AZ 85207-3901 | 2016-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241743 | Sharin Lane | Physical Therapist | Spooner North Mesa, PC, 6824 E Brown Rd # 102, Mesa, AZ 85207 | 2019-02-14 |
| 1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
| 1467970939 | Kerry Mae Kenley | Specialist/Technologist | 7556 E. Laurel St, Mesa, AZ 85207 | 2017-09-05 |
| 1053709287 | Barbara Bowen | Speech-Language Pathologist | 8433 E. Leland St., Mesa, AZ 85207 | 2014-12-22 |
| 1043561046 | Joseph Allen Kempton | Physical Therapist | 844 N. Ellsworth Rd, Mesa, AZ 85207 | 2012-10-01 |
| 1629327556 | Odyssey Services Corp. | Community/Behavioral Health | 8947 East Quill Street, Mesa, AZ 85207 | 2012-09-06 |
| 1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
| 1366670929 | Trevor Lee Caffall | Dentist | 6812 E. Brown Rd., Ste 102, Mesa, AZ 85207 | 2009-06-22 |
| 1396928073 | Dht Hand Therapy Limited Partnership | Occupational Therapist | 7165 E University Dr Ste 143, Mesa, AZ 85207 | 2007-12-17 |
| 1184794075 | Karen L Thomas Pllc | Nurse Practitioner | 3902 N. Stone Gully Cricle, Mesa, AZ 85207 | 2006-11-08 |
| Find all providers in zip 85207 | ||||
| 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 |
|---|---|---|---|---|
| 1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
| 1144797515 | Nugenerex Paz1 LLC | Pharmacy | 6641 E Baywood Ave Ste A1, Mesa, AZ 85206-1723 | 2018-10-24 |
| 1922547447 | Sun Pharmacy | Pharmacy | 4838 E Baseline Rd Ste 127, Mesa, AZ 85206-4673 | 2017-02-16 |
| 1164808648 | Fatima Pharmacy, LLC | Pharmacy | 66 S Dobson Rd Ste 104, Mesa, AZ 85202-1175 | 2015-08-06 |
| 1023350451 | Canaan Capital Management LLC | Pharmacy | 6641 E Baywood Ave Ste A-1, Mesa, AZ 85206 | 2013-03-24 |
| 1629296322 | Caresite Pharmacy of Arizona LLC | Pharmacy | 10238 E. Hampton Ave, Suite 107, Mesa, AZ 85208 | 2007-04-20 |
| 1629157557 | Walgreen Co | Pharmacy | 9230 E Main St, Mesa, AZ 85207-8803 | 2006-11-02 |
| 1649374539 | German Dobson Cvs, L.L.C. | Pharmacy | 9152 E Brown Rd, Mesa, AZ 85207-4339 | 2006-09-12 |
| 1386748275 | German Dobson Cvs, L.L.C. | Pharmacy | 360 N Val Vista Dr, Mesa, AZ 85213-8624 | 2006-09-12 |
| 1922102813 | German Dobson Cvs, L.L.C. | Pharmacy | 5954 E Mcdowell Rd, Mesa, AZ 85215-9607 | 2006-09-12 |
| Find all providers in MESA | ||||
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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.