Catherine Elizabeth Fredericks, PHARM D, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS37770 Issued in FL

Practice address

3570 Harden Blvd
T-1299
Lakeland, FL 33803-5928

Phone

(863) 648-0512

Fax

(863) 648-0512

NPI assigned

Jun 9, 2011

Last updated

Jun 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1407140221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 HARDEN BLVD",
            "address_2": "T-1299",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035928",
            "telephone_number": "863-648-0512",
            "fax_number": "863-648-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 HARDEN BLVD",
            "address_2": "T-1299",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035928",
            "telephone_number": "863-648-0512",
            "fax_number": "863-648-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKS",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "PHARM D, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022376000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1090478",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY'S NPI",
            "identifier": "1881616431",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary W Frates, OD
• Richard E Frates, MD
• Darvis T. Frazier, PH.D.
• Carrie E Frederick, M.S., CCC-SLP
• Caitlin R. Fredericka
• Mary Freeman
• Victoria Freeman, LMHC
• Shelley A Friedland, PT
• Jeffrey E Friedman, MD
• Scott Mayer Friedman, M.D.

• Pharmacist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.