OrganizationActive
Frederick Pharmacy Inc
NPI 1982778379 · Community/Retail Pharmacy · Frederick, OK
Provider details
- NPI number
- 1982778379
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Shane Kelly, Owner(580) 335-5501
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1600 N Main St
Frederick, OK 73542-1419
Phone: (580) 335-5501
Fax: (580) 335-7253
Street-level locationGet directions
Mailing address
Po Box 981
Frederick, OK 73542-0981
Other names (DBA / former)
- Doing business as
- Frederick Pharmacy Inc
- Doing business as
- Frederick Pharmacy Inc
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2019-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.