IndividualActive
Larry Fredericks
NPI 1700473550 · Pharmacist · Nappanee, IN
Larry Fredericks is a Pharmacist provider in Nappanee, IN (NPI 1700473550).
Provider details
- NPI number
- 1700473550
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26013548A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
242 N Oakland Ave
Nappanee, IN 46550-2319
Phone: (574) 773-7873
Fax: (574) 773-3673
Street-level locationGet directions
Mailing address
3 Meadow Ln
Nappanee, IN 46550-1152
Registry dates
- Enumerated
- 2020-12-28
- Last updated
- 2020-12-28
- Certified
- 2020-12-28
Frequently asked questions
- What is Larry Fredericks's NPI number?
- Larry Fredericks's National Provider Identifier (NPI) is 1700473550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Fredericks's specialty?
- Larry Fredericks is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Larry Fredericks located?
- Larry Fredericks's practice location on file with NPPES is 242 N Oakland Ave, Nappanee, IN 46550-2319.
- What is Larry Fredericks's phone number?
- The practice phone number listed in the NPPES registry for Larry Fredericks is (574) 773-7873.
- Is Larry Fredericks's NPI active?
- Yes — Larry Fredericks's NPI (1700473550) is active in the NPPES registry as of the last update on 2020-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.