LARRY ALAN FREDERICKS
NPI 1700473550
Pharmacist in Nappanee, IN

Active since December 28, 2020
242 N OAKLAND AVE, NAPPANEE, IN 46550(574) 773-7873(574) 773-3673 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry Alan Fredericks NPPES

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

LARRY ALAN FREDERICKS (NPI 1700473550) is an individual pharmacist in Nappanee, Indiana, licensed in Indiana (26013548A) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1700473550
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameLARRY ALAN FREDERICKS
Location Address242 N OAKLAND AVENappanee, IN 46550-2319
Mailing Address3 Meadow LnNappanee, IN 46550-1152 · (574) 221-1029
Fax(574) 773-3673
Sole ProprietorYes
Enumeration DateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
NPI 1700473550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IN · 26013548A
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
242 N OAKLAND AVE, Nappanee, IN 46550

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.

Pharmacist
242 N OAKLAND AVE
NAPPANEE, IN 46550
Pharmacist
242 N OAKLAND AVE
NAPPANEE, IN 46550
Pharmacy (Community/Retail Pharmacy)
242 N OAKLAND AVE
NAPPANEE, IN 46550

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 Larry Fredericks's NPI number?

The NPI number for Larry Fredericks is 1700473550. It was assigned to this individual provider in the NPPES registry on December 28, 2020.

Where is Larry Fredericks located?

Larry Fredericks practices at 242 N Oakland Ave, Nappanee, IN 46550. The listed phone number is (574) 773-7873.

What is Larry Fredericks's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Larry Fredericks was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.