FREDS VICKSBURG COMMUNITY PHARMACY
NPI 1982680468
Pharmacy - Community/Retail Pharmacy in Vicksburg, MI

Active since December 16, 2005
121 W PRAIRIE ST, VICKSBURG, MI 49097(269) 649-0660(269) 649-4755 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Freds Vicksburg Community Pharmacy NPPES

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

FREDS VICKSBURG COMMUNITY PHARMACY (NPI 1982680468) is a healthcare organization registered as a community/retail pharmacy in Vicksburg, Michigan and active in the NPI registry since December 2005. The organization lists Elaine Oestrike, Manager/rph, as its authorized official.

NPPES Registry Identity

NPI1982680468
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS SUPER PHARMACY INC
Location Address121 W PRAIRIE STVicksburg, MI 49097
Mailing AddressPo Box 80, 121 W Prairie StVicksburg, MI 49097-0080 · (269) 649-0660 · Fax (269) 649-4755
Fax(269) 649-4755
Organization SubpartNo
Authorized OfficialElaine OestrikeManager/rph · (269) 649-0660
Enumeration DateDecember 16, 2005
Last NPPES UpdateApril 1, 2015
NPI 1982680468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MI · 5301005983
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.

121 W PRAIRIE ST, Vicksburg, MI 49097

Other Names 1

Doing Business AsFreds Vicksburg Community Pharmacy

Other Identifiers 2

Medicaid3045857MI
Medicare ID-Type Unspecified0755530002MI

Accepted Insurance

Areas of Expertise CMS Part B claims 2

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.
101 services100 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
93 services93 patients

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Fred's Vicksburg Community Pharmacy carries, from the Medicare DMEPOS supplier directory.

Fred's Vicksburg Community Pharmacy

DMEPOS supplier · Vicksburg, MIOperated by Freds Super Pharmacy Inc

Accepts Medicare assignment

Fred's Vicksburg Community 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)20573537
Medicare Participant SinceJune 14, 2006
Supplier Location121 W Prairie StVicksburg, MI 49097
Supplier Specialties
Pharmacy

Medicare Product Categories

Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
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 4

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

Pharmacist
121 W PRAIRIE ST
VICKSBURG, MI 49097
Pharmacist
121 W PRAIRIE ST
VICKSBURG, MI 49097
Pharmacist
121 W PRAIRIE ST
VICKSBURG, MI 49097
Pharmacy Technician
121 W PRAIRIE ST
VICKSBURG, MI 49097

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 Freds Super Pharmacy Inc's NPI number?

The NPI number for Freds Super Pharmacy Inc is 1982680468. It was assigned to this organization in the NPPES registry on December 16, 2005. The provider is doing business as Freds Vicksburg Community Pharmacy.

Where is Freds Super Pharmacy Inc located?

Freds Super Pharmacy Inc is located at 121 W Prairie St, Vicksburg, MI 49097. The listed phone number is (269) 649-0660.

What is Freds Super Pharmacy Inc's specialty?

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

Does Freds Super Pharmacy Inc accept Medicare assignment for medical equipment?

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

What insurance does Freds Super Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Freds Super 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 Freds Super Pharmacy Inc was last updated on April 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.