FREDERICK PHARMACY INC (NPI# 1982778379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982778379 |
| Entity Type | Organization |
| Organization Name | FREDERICK PHARMACY INC |
| Other Organization Name | FREDERICK PHARMACY INC |
| Practice Address |
1600 N Main St Frederick OK 73542-1419 |
| Mailing Address |
Po Box 981 Frederick OK 73542-0981 |
| Practice Telephone | 5803355501 |
| Practice Fax Number | 5803357253 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | SHANE KELLY (OWNER) |
| Authorized Official Telephone | 5803355501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
424719 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200015150A | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3711012 | 01 |
| Other Name | Type Code |
|---|---|
| FREDERICK PHARMACY INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740709252 | Frederick Pharmacy Inc | Pharmacy | 219 E Josephine Ave, Frederick, OK 73542-2017 | 2017-09-15 |
| Street Address |
1600 N MAIN ST |
| City | FREDERICK |
| State | OK |
| Zip Code | 73542-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275992802 | Cletus Gibbs | Counselor | 1500 North Main, Frederick, OK 73542 | 2016-02-10 |
| 1164834883 | Kimberly Abbott | Case Manager/Care Coordinator | 926 North 13th, Frederick, OK 73542 | 2014-05-29 |
| 1356456156 | Frederick Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 219 E Josephine, Frederick, OK 73542 | 2006-08-20 |
| 1427075324 | Comanche County Healthcare | Family Medicine | 319 E Josephine, Frederick, OK 73542 | 2006-07-16 |
| 1679550115 | City of Frederick | Nursing Facility/Intermediate Care Facility | 319 E. Josephine, Frederick, OK 73542 | 2005-12-27 |
| 1770678138 | Gregory Scott Howard | Chiropractor | 108 South Main Street, Frederick, OK 73542 | 2006-10-03 |
| 1669577474 | Edye A Calderon | Physician Assistant | 319 E Josephine, Frederick, OK 73542 | 2006-09-14 |
| 1982670816 | Trenton L Mefford | Family Medicine | 319 E Josephine Ave, Frederick, OK 73542 | 2006-02-28 |
| 1003248758 | Hollie Marie Lindsay | Counselor | 1500 N. Main, Frederick, OK 73542-1421 | 2013-08-05 |
| 1528550837 | Jessica Adeliade Smith | Case Manager/Care Coordinator | 1500 N Main St, Frederick, OK 73542-1421 | 2018-06-01 |
| Find all providers in zip 73542 | ||||
| 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 |
|---|---|---|---|---|
| 1235751470 | Complete Wellness Pharmacy LLC | Pharmacy | 5732 Buckeystown Pike Ste 24, Frederick, MD 21704-5180 | 2020-05-11 |
| 1861798456 | Thomas Johnson Pharmacy | Pharmacy | 177 Thomas Johnson Dr, Suite B, Frederick, MD 21702-5101 | 2011-01-31 |
| 1427157874 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 8032 Liberty Rd # C, Frederick, MD 21701-3239 | 2006-09-22 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| 1669576591 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 402 S Jefferson St, Frederick, MD 21701-6208 | 2006-09-12 |
| 1679676498 | Maryland Cvs Pharmacy LLC | Pharmacy | 300 Ballenger Center Dr, Frederick, MD 21703-7096 | 2006-09-07 |
| 1407480361 | Frederick Health Hospital Inc | Pharmacy | 400 W 7th St, Frederick, MD 21701-4506 | 2020-02-28 |
| 1740709252 | Frederick Pharmacy Inc | Pharmacy | 219 E Josephine Ave, Frederick, OK 73542-2017 | 2017-09-15 |
| 1447656616 | Sahajanand LLC | Pharmacy | 190 Thomas Johnson Dr Ste 3, Frederick, MD 21702-4879 | 2014-11-14 |
| 1811396104 | Cvs Pharmacy | Pharmacy | 1460b W Patrick St, Frederick, MD 21702-3750 | 2014-08-22 |
| Find all providers in FREDERICK | ||||
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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.