Frederick Pharmacy Inc
Community/Retail Pharmacy
1600 N Main St, Frederick
Oklahoma, 73542-1419
580-335-5501 580-335-7253
Frederick Pharmacy Inc is a Community/Retail Pharmacy in Frederick, Oklahoma. It is located at 1600 N Main St, Frederick and it's customer support contact number is 580-335-5501. The authorized person of Frederick Pharmacy Inc is Shane Kelly who is Owner of the pharmacy and his contact number is 580-335-5501. Active license number of Frederick Pharmacy Inc is 424719 for Community/Retail Pharmacy in Oklahoma. Frederick Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Frederick Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Frederick Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Frederick Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 1600 N Main St, Frederick,
Oklahoma, 73542-1419 |
| Phone: | 580-335-5501 |
| Fax: | 580-335-7253 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Shane Kelly |
| Position: | Owner |
| Contact Number: | 580-335-5501 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1982778379 |
| NPI Enumeration Date: | 20 Nov, 2006 |
| NPI Last Update On: | 14 Oct, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Frederick Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 424719 | Oklahoma | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200015150A | Medicaid | Oklahoma | |
| 3711012 | Other | | Ncpdp Provider Identification Number |
Medicare Enrollment:
Frederick Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2567679947 | O20100930073593 | Frederick Pharmacy Inc | DME SUPPLIER - PHARMACY |
Products Available:
Frederick Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Infusion Pumps & Supplies: Insulin Infusion | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Oxygen Equipment & Supplies | • Seat Lift Mechanisms |
| • Surgical Dressings | • Tracheostomy Supplies |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Urological Supplies |
| • Ventilators, Accessories & Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Complex Rehabilitative Manual |
| • Wheelchairs & Accessories: Standard Manual | • Wheelchairs & Accessories: Standard Power |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 981,
Frederick, Oklahoma |
| Zip: | 73542-0981 |
| Phone Number: | -- |
Patients can reach Frederick Pharmacy Inc at
1600 N Main St, Frederick, Oklahoma or can
call on customer care at 580-335-5501.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.