Frederick Pharmacy Inc
NPI 1982778379 · Community/Retail Pharmacy · Frederick, OK
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Frederick Pharmacy Inc is a Community/Retail Pharmacy organization in Frederick, OK (NPI 1982778379).
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
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
Mailing address
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
Frequently asked questions
- What is Frederick Pharmacy Inc's NPI number?
- Frederick Pharmacy Inc's National Provider Identifier (NPI) is 1982778379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Frederick Pharmacy Inc?
- Frederick Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Frederick Pharmacy Inc located?
- Frederick Pharmacy Inc's practice location on file with NPPES is 1600 N Main St, Frederick, OK 73542-1419.
- What is Frederick Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Frederick Pharmacy Inc is (580) 335-5501.
- Does Frederick Pharmacy Inc accept Medicare?
- Frederick Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Frederick Pharmacy Inc?
- The authorized official listed on Frederick Pharmacy Inc's NPPES record is Shane Kelly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Frederick Pharmacy Inc's NPI active?
- Yes — Frederick Pharmacy Inc's NPI (1982778379) is active in the NPPES registry as of the last update on 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.