Fredonia Pharmacy Inc
NPI 1366200586 · Long Term Care Pharmacy · Fredonia, KS
Fredonia Pharmacy Inc is a Long Term Care Pharmacy organization in Fredonia, KS (NPI 1366200586).
Provider details
- NPI number
- 1366200586
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jacob Edwards, Officer(620) 378-4422
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Fredonia Pharmacy Ltc
Registry dates
- Enumerated
- 2024-03-12
- Last updated
- 2024-03-12
- Certified
- 2024-03-12
Frequently asked questions
- What is Fredonia Pharmacy Inc's NPI number?
- Fredonia Pharmacy Inc's National Provider Identifier (NPI) is 1366200586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fredonia Pharmacy Inc?
- Fredonia Pharmacy Inc is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Fredonia Pharmacy Inc located?
- Fredonia Pharmacy Inc's practice location on file with NPPES is 628 Madison St, Fredonia, KS 66736-1338.
- What is Fredonia Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Fredonia Pharmacy Inc is (620) 378-4422.
- Who is the authorized official for Fredonia Pharmacy Inc?
- The authorized official listed on Fredonia Pharmacy Inc's NPPES record is Jacob Edwards, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fredonia Pharmacy Inc's NPI active?
- Yes — Fredonia Pharmacy Inc's NPI (1366200586) is active in the NPPES registry as of the last update on 2024-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.