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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

FREDONIA PHARMACY INC
NPI 1366200586
Pharmacy - Long Term Care Pharmacy in Fredonia, KS

Active since March 12, 2024
628 MADISON ST, FREDONIA, KS 66736(620) 378-4422 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fredonia Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDONIA PHARMACY INC (NPI 1366200586), doing business as Fredonia Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in Fredonia, Kansas and active in the NPI registry since March 2024. The organization lists Lance Michael Freeman, President, as its authorized official.

NPPES Registry Identity

NPI1366200586
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameFREDONIA PHARMACY INC
Location Address628 MADISON STFredonia, KS 66736-1338
Mailing Address628 Madison StFredonia, KS 66736-1338
Phone(620) 378-4422
Organization SubpartNo
Authorized OfficialLance Michael FreemanPresident · (620) 378-4422
Enumeration DateMarch 12, 2024
Last NPPES UpdateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1366200586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
628 MADISON ST, Fredonia, KS 66736
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Other Names 1

Doing Business AsFredonia Pharmacy Ltc

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB DUGAN PHARM D.
Pharmacist
628 MADISON ST
FREDONIA, KS 66736
Wilson County (620) 378-4422
JARROD MALCOLM SMITH PHARMD
Pharmacist
628 MADISON ST
FREDONIA, KS 66736
Wilson County (620) 378-4422
FREDONIA PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
628 MADISON ST
FREDONIA, KS 66736
Wilson County (620) 378-4422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredonia Pharmacy Inc's NPI number?

The NPI number for Fredonia Pharmacy Inc is 1366200586. It was assigned to this organization in the NPPES registry on March 12, 2024. The provider is doing business as Fredonia Pharmacy LTC.

Where is Fredonia Pharmacy Inc located?

Fredonia Pharmacy Inc is located at 628 Madison St, Fredonia, KS 66736. The listed phone number is (620) 378-4422.

What is Fredonia Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Fredonia Pharmacy Inc was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.