Freedom Pharmacy Of Arizona At Red Mountain LLC
Pharmacy, Community/Retail Pharmacy in Mesa, AZ. Organization (NPI-2).
NPI number1982152732
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1982152732
- Entity type
- Organization (NPI-2)
- Legal business name
- Freedom Pharmacy Of Arizona At Red Mountain LLC
- Organization subpart
- No
- Enumeration date
- Sep 21, 2016
- Last updated
- Sep 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | Y006920 | AZ | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Freedom Pharmacy Of Arizona At Red Mountain (Doing Business As)
Practice location
8035 E Brown RdBldg 4, Ste C
Mesa, AZ 85207-3901
Phone 480-565-7222 · Fax 480-499-0396
Mailing address
8035 E Brown RdBldg 4, Ste C
Mesa, AZ 85207
Phone 480-565-7222 · Fax 480-499-0396
Authorized official
Chris Shaler
President
4809939646
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 73 Community/Retail Pharmacy providers in Mesa · All 13,507 providers in Mesa
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