Organization
FREDERICK & SMITH INC
Active
Organization
FREDERICK & SMITH INC
Active
Other names
CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FREDERICK RPH (OWNER,AO)
(606) 743-3114
Entity
Organization
Contact information
Practice address
412 LIBERTY RD, WEST LIBERTY, KY 41472-2049
(606) 743-4957
(606) 743-2187
Mailing address
PO BOX 277, WEST LIBERTY, KY 41472-0277
(606) 743-4957
(606) 743-2187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P02110
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2030586
PK
—
05
—
54020144
—
KY
05
—
90010885
—
KY
Enumeration date
08/20/2006
Last updated
09/17/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up