Frederick Pharmacy, Inc.
Frederick Pharmacy, Inc. is a healthcare organization registered as Community/Retail Pharmacy in Frederick, OK, holding Type 2 (organization) NPI 1356456156 since 2006. The authorized official on file is Shane Kelly, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356456156 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Frederick Pharmacy, Inc. |
| Other name | <Unavail> |
| Practice address | 219 E JOSEPHINE, Frederick, OK, 73542 |
| Phone | 5803357575 |
| Fax | 5803357577 |
| Enumeration date | 2006-08-20 |
| Last updated in NPPES | 2018-02-16 |
Authorized official
| Name | Shane Kelly |
|---|---|
| Title | Owner |
| Phone | 5803357575 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2072540 | Other | — | PK |
| 200008420A | Medicaid | OK | — |
Copy-ready billing details
Provider: Frederick Pharmacy, Inc. NPI: 1356456156 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 219 E JOSEPHINE, Frederick, OK, 73542
Verify this record
Cross-check NPI 1356456156 against the authoritative CMS record: view Frederick Pharmacy, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Frederick Pharmacy, Inc.?
Who is the authorized official for Frederick Pharmacy, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-02-16.