1. Home
  2. Directory
  3. Michigan
  4. Ann Arbor
  5. Pharmacist
  6. NPI Profile

FREDERICK MICHAEL BERGSTROM RPH
NPI 1417467242
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ann Arbor, MI

Active since October 06, 2017
2215 FULLER RD # 119, ANN ARBOR, MI 48105(734) 769-7100 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick Michael Bergstrom Rph NPPES

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

FREDERICK MICHAEL BERGSTROM RPH (NPI 1417467242) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Ann Arbor, Michigan, licensed in Arizona (6603) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1417467242
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameFREDERICK MICHAEL BERGSTROMCredential: RPH
Location Address2215 FULLER RD # 119Ann Arbor, MI 48105-2303
Mailing Address2215 Fuller Rd # 119Ann Arbor, MI 48105-2303 · (734) 769-7100
Phone(734) 769-7100
Sole ProprietorNo
Enumeration DateOctober 6, 2017
✔ NPI 1417467242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in AZ · 6603
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
2215 FULLER RD # 119, Ann Arbor, MI 48105
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

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

MEGAN MARIE KARL PHARMD
Pharmacist
2215 FULLER RD # 119
ANN ARBOR, MI 48105
Washtenaw County (513) 446-3352
KRISTIN KATHERINE BROWN PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2215 FULLER RD # 119
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
DR. JESSICA LEE O'NEILL PHARM.D.
Pharmacist
2215 FULLER RD # 119, PHARMACY SERVICES
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
ROBERT DEDO PHARMD
Pharmacist
2215 FULLER RD # 119
ANN ARBOR, MI 48105
Washtenaw County (734) 222-7749
DR. KATHRYN MICHELLE HURREN PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2215 FULLER RD # 119
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
SYDNEY PAIGE KELLY
Pharmacist
2215 FULLER RD # 119
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100

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 Frederick Bergstrom's NPI number?

The NPI number for Frederick Bergstrom is 1417467242. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Frederick Bergstrom located?

Frederick Bergstrom practices at 2215 Fuller Rd # 119, Ann Arbor, MI 48105. The listed phone number is (734) 769-7100.

What is Frederick Bergstrom's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Frederick Bergstrom was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.