Jerry Walter Frederick, RPH - Pharmacist in Bloomington, IN

Jerry Walter Frederick, RPH is a Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Bloomington, Indiana. Jerry Walter Frederick is licensed to practice in Indiana (license number 26012786A) and his current practice location is 4025 S Old State Road 37, Bloomington, Indiana. He can be reached at his office (for appointments etc.) via phone at (812) 824-5205.

NPI number for Jerry Walter Frederick is 1033759899 and his current mailing address is 4025 S Old State Road 37, Bloomington, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033759899.

Contact Information

Jerry Walter Frederick, RPH
4025 S Old State Road 37,
Bloomington, IN 47401-7482
(812) 824-5205
(812) 824-5207

Healthcare Provider's Profile

Full NameJerry Walter Frederick
GenderMale
SpecialityPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Location4025 S Old State Road 37, Bloomington, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033759899
  • Provider Enumeration Date: 01/09/2020
  • Last Update Date: 01/09/2020

Medical Identifiers

Medical identifiers for Jerry Walter Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033759899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1835P0018XPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist 26012786A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry Walter Frederick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerry Walter Frederick, RPH
4025 S Old State Road 37,
Bloomington, IN 47401-7482

Ph: (812) 824-5205
Jerry Walter Frederick, RPH
4025 S Old State Road 37,
Bloomington, IN 47401-7482

Ph: (812) 824-5205

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› Verified 5 days ago


Pharmacist in Bloomington, IN

Dr. Darren James Delong, PHARMD
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Amanda M Deschepper, PHARMD
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Practice Location: 500 S Liberty Dr, Bloomington, IN 47403
Phone: 812-349-1392    Fax: 812-349-1393

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