MARY FREDERICK
NPI 1780036624
Pharmacist in Vidalia, GA

Active since July 04, 2016
1108 E 1ST ST, VIDALIA, GA 30474(912) 538-0311 Get Directions Write a Review

NPPES record last updated: July 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Frederick NPPES

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

MARY FREDERICK (NPI 1780036624) is an individual pharmacist in Vidalia, Georgia, licensed in Georgia (RPH029177) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1780036624
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMARY FREDERICK
Location Address1108 E 1ST STVidalia, GA 30474-4206
Mailing Address1108 E 1st StVidalia, GA 30474-4206 · (912) 538-0311
Sole ProprietorNo
Enumeration DateJuly 4, 2016
NPI 1780036624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · RPH029177
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.
1108 E 1ST ST, Vidalia, GA 30474

Other Providers at the Same Location NPPES 4

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

Pharmacy
1108 E 1ST ST
VIDALIA, GA 30474
Pharmacist
1108 E 1ST ST
VIDALIA, GA 30474
Pharmacist
1108 E 1ST ST
VIDALIA, GA 30474
Pharmacist
1108 E 1ST ST
VIDALIA, GA 30474

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 Mary Frederick's NPI number?

The NPI number for Mary Frederick is 1780036624. It was assigned to this individual provider in the NPPES registry on July 4, 2016.

Where is Mary Frederick located?

Mary Frederick practices at 1108 E 1st St, Vidalia, GA 30474. The listed phone number is (912) 538-0311.

What is Mary Frederick'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 Mary Frederick was last updated on July 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.