Organization Active NPI

Fricks Pharmacy LLC

  • Long Term Care Pharmacy
  • Pensacola, FL
National Provider Identifier
1083293922
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FRICKS PHARMACY LLC
Practice address
921 Dr Martin L King Jr Dr Apt C
Pensacola, FL 32501-4090
Phone
(850) 665-4657
Fax
(850) 665-4670
NPI assigned
Apr 7, 2021
Organization subpart
Yes
Parent organization
FRICKS PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Jade FricksNPI 1316389190
Title
Owner
Phone
(850) 665-4657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

921 Dr Martin L King Jr Dr Apt C
Pensacola, FL 32501-4090

Mailing address

921 Dr Martin L King Jr Dr Apt C
Pensacola, FL 32501-4090
Phone (850) 665-4657

National Provider Directory

National Provider Directory
Part of
Fricks Pharmacy LLC

Locations

6472 Highway 90
Unit B
Milton, FL 32570
Phone (850) 664-4657

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1083293922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 DR MARTIN L KING JR DR APT C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325014090",
            "telephone_number": "850-665-4657",
            "fax_number": "850-665-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 DR MARTIN L KING JR DR APT C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325014090",
            "telephone_number": "850-665-4657",
            "fax_number": "850-665-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRICKS PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRICKS PHARMACY LLC",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "FRICKS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-665-4657"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.