Frederick John Fagen

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302030328 Issued in MI

Practice address

800 E Chicago St
Coldwater, MI 49036-2055

Phone

(517) 278-5897

NPI assigned

Jan 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452297600000",
    "number": "1275999013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 W PEARL ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361843",
            "telephone_number": "517-795-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362055",
            "telephone_number": "517-278-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGEN",
        "first_name": "FREDERICK",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-09",
        "last_updated": "2016-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302030328",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26018579A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Epmg Southern Michigan PLLC
• Jessica Nicole Estel
• Evan Frederick,DDS, PLLC
• Cathryn Nicole Evans, ATC
• Lindsey Mae Everline, FNP-C
• Family Chiropractic Center of Coldwater
• Family Foot Health PC
• Family Practice & Orthopedic Care Center P.C.
• Gail Finn, CTRS
• Sara J Fischmeister, CRNA

• Pharmacist in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; 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.