IndividualActive
Justin Fredericksen
NPI 1174851612 · Pharmacist · Falcon, CO
Justin Fredericksen is a Pharmacist provider in Falcon, CO (NPI 1174851612).
Provider details
- NPI number
- 1174851612
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0020781 (CO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11550 Meridian Market Vw
Falcon, CO 80831-8241
Phone: (719) 522-2989
Street-level locationGet directions
Mailing address
11550 Meridian Market Vw
Falcon, CO 80831-8241
Registry dates
- Enumerated
- 2009-11-20
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Frequently asked questions
- What is Justin Fredericksen's NPI number?
- Justin Fredericksen's National Provider Identifier (NPI) is 1174851612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Fredericksen's specialty?
- Justin Fredericksen is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Justin Fredericksen located?
- Justin Fredericksen's practice location on file with NPPES is 11550 Meridian Market Vw, Falcon, CO 80831-8241.
- What is Justin Fredericksen's phone number?
- The practice phone number listed in the NPPES registry for Justin Fredericksen is (719) 522-2989.
- Is Justin Fredericksen's NPI active?
- Yes — Justin Fredericksen's NPI (1174851612) is active in the NPPES registry as of the last update on 2025-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.