Active NPI
Fricks Pharmacy LLC
- Community/Retail Pharmacy
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FRICKS PHARMACY LLC
- Practice address
- 921 Dr Martin L King Jr Dr Apt C
Pensacola, FL 32501-4090 - Phone
- (850) 483-0363
- NPI assigned
- Oct 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephanie Jade Fricks, PHARMD
- Title
- Owner/PDM
- Phone
- (615) 483-8310
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105468400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200713002630 | FL | Part B Supplier - Pharmacy | 2264854496 | Practice locations: Milton, FL |
| O20200721004348 | FL | Part B Supplier - Independent Clinical Laboratory | 2264854496 | Practice locations: Milton, FL |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Pensacola, FL
- NPI 1083293922
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Pensacola, FL
- NPI 1316389190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755216000000",
"number": "1497398226",
"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"
},
{
"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": "850-483-0363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRICKS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-24",
"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/PDM",
"authorized_official_telephone_number": "615-483-8310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105468400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Fresenius Vascular Care of Pensacola ASC LLC
- Fresenius Vascular Care Pensacola LLC
- Warren Keoni Kenji Frey, M.D.
- Linda Jane Fricke, ARNP
- Fricks Pharmacy LLC
- Stephanie Jade Fricks, PHARMD
- Edward L Friedland, M.D.
- Darrah L Friedman, CRNA
- Jennifer Lynn Friedrich, M.A.
- Friendly Eyes Vision of Illinois PLLC
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.