FREEDOM PHARMACY LLC
NPI 1225985963
Durable Medical Equipment & Medical Supplies in Mena, AR

Active since March 12, 2026CLIA 04D2182819 · Waiver
710 4TH ST, MENA, AR 71953(479) 437-3089(479) 437-3842 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Freedom Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREEDOM PHARMACY LLC (NPI 1225985963) is a healthcare organization registered as a durable medical equipment & medical supplies in Mena, Arkansas and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Brian Erickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1225985963
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFREEDOM PHARMACY LLC
Location Address710 4TH STMena, AR 71953-3314
Mailing Address710 4th StMena, AR 71953-3314 · (479) 437-3089 · Fax (479) 437-3842
Fax(479) 437-3842
Organization SubpartNo
Authorized OfficialBrian EricksonOwner · (479) 437-3089
Enumeration DateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
NPI 1225985963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

710 4TH ST, Mena, AR 71953

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2182819

Freedom Pharmacy LLC · Mena, AR
Active · expires Apr 26, 2028
CLIA Number04D2182819
Laboratory TypePharmacy
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorRicky J. Wirt
Laboratory Phone(479) 437-3089
Laboratory LocationFreedom Pharmacy LLC710 4th Street, Mena, AR 71953
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
710 4TH ST
MENA, AR 71953
Pharmacy (Long Term Care Pharmacy)
710 4TH ST
MENA, AR 71953
Pharmacist
710 4TH ST
MENA, AR 71953
Pharmacist
710 4TH ST
MENA, AR 71953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freedom Pharmacy LLC's NPI number?

The NPI number for Freedom Pharmacy LLC is 1225985963. It was assigned to this organization in the NPPES registry on March 12, 2026.

Where is Freedom Pharmacy LLC located?

Freedom Pharmacy LLC is located at 710 4th St, Mena, AR 71953. The listed phone number is (479) 437-3089.

What is Freedom Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Freedom Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2182819) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Freedom Pharmacy LLC was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.