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FREDERICA PHARMACY INC.
NPI 1720741564
Pharmacy - Community/Retail Pharmacy in Saint Simons Island, GA

Active since October 19, 2021
3603 FREDERICA RD, SAINT SIMONS ISLAND, GA 31522(912) 357-2357 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2025, Aug 15, 2024, Apr 29, 2022 and 1 more (4 updates tracked since 2021).

About Frederica Pharmacy Inc. NPPES

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

FREDERICA PHARMACY INC. (NPI 1720741564), doing business as Frederica Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Saint Simons Island, Georgia and active in the NPI registry since October 2021. The organization lists Melissa F Luce, Vice President, as its authorized official.

NPPES Registry Identity

NPI1720741564
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDERICA PHARMACY INC.
Location Address3603 FREDERICA RDSaint Simons Island, GA 31522-1334
Mailing Address3603 Frederica RdSaint Simons Island, GA 31522-1334 · (912) 357-2357 · Fax (888) 626-5910
Phone(912) 357-2357
Organization SubpartNo
Authorized OfficialMelissa F LuceVice President · (912) 357-2357
Enumeration DateOctober 19, 2021
Last NPPES UpdateMay 22, 20254 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1720741564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
3603 FREDERICA RD, Saint Simons Island, GA 31522
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Other Names 1

Doing Business AsFrederica Pharmacy

Other Identifiers 1

Medicaid003263426AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
335 services331 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
323 services323 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
19 services19 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Frederica Pharmacy carries, from the Medicare DMEPOS supplier directory.

Frederica Pharmacy

DMEPOS supplier · Saint Simons Island, GAOperated by Frederica Pharmacy Inc
✔

Accepts Medicare assignment

Frederica Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20402597
Medicare Participant SinceJanuary 19, 2022
Supplier Location3603 Frederica RdSaint Simons Island, GA 31522
Phone(912) 357-2357
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

DR. MATTHEW M LUCE PHARM.D.
Pharmacist
3603 FREDERICA RD
SAINT SIMONS ISLAND, GA 31522
Glynn County (912) 357-2357

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 Frederica Pharmacy Inc.'s NPI number?

The NPI number for Frederica Pharmacy Inc. is 1720741564. It was assigned to this organization in the NPPES registry on October 19, 2021. The provider is doing business as Frederica Pharmacy.

Where is Frederica Pharmacy Inc. located?

Frederica Pharmacy Inc. is located at 3603 Frederica Rd, Saint Simons Island, GA 31522. The listed phone number is (912) 357-2357.

What is Frederica Pharmacy Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Frederica Pharmacy Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Frederica Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Frederica Pharmacy Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 26 other insurers list Frederica Pharmacy Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Frederica Pharmacy Inc. was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.