Active NPI
Shelly Frederick, RPH
- Pharmacist
- Independence, OH
National Provider Identifier
1437753357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-318614
- Practice address
- 6527 Brecksville Rd
Independence, OH 44131-4858 - Phone
- (216) 447-0990
- NPI assigned
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-318614 | OH | Primary |
Addresses
Primary practice location
6527 Brecksville Rd
Independence, OH 44131-4858
Mailing address
6527 Brecksville Rd
Independence, OH 44131-4858
Phone (216) 447-0990
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Independence |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03-318614 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1437753357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6527 BRECKSVILLE RD",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441314858",
"telephone_number": "216-447-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6527 BRECKSVILLE RD",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441314858",
"telephone_number": "216-447-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "SHELLY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-318614",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Independence",
"affiliation": "N",
"address_1": "6527 Brecksville Rd",
"city": "Independence",
"state": "OH",
"country_code": "US",
"postal_code": "441314858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.