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Deactivated NPI 1174551998 Deactivated / Inactive NPI Male Practitioner

Frederick William Nelson , RPH

Pharmacist • Vicksburg, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Frederick Nelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 29, 2006
NPI Deactivation Date July 11, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Frederick Nelson, RPH was a registered Pharmacist practicing in Vicksburg, MI. Throughout an active medical career spanning 16 years, Frederick Nelson provided care at the practice location at 121 W PRAIRIE ST until profile deactivation on 2022-07-11.

Practice Location & Contact Primary Location

Practice Address

121 W Prairie St

Vicksburg, MI 490971258

Telephone 2696490660
Fax 2696494755
Associated Practice Facility / Clinic
🏢 Freds Super Pharmacy Inc Facility NPI 1982680468

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Vicksburg, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Vicksburg, MI (8602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302021629

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1164012126

Registered Pharmacist

NPI 1447283403
John Pazynski

Pharmacist

NPI 1467041277
Jodee Nelson , CPHT

Pharmacy Technician

NPI 1548298185

Certified Pharmacy Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 11, 2022

Record deactivated on July 11, 2022

NPI Profile Active June 07, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 07, 2010

Registered at 121 W PRAIRIE ST, VICKSBURG, MI 490971258 (Tel: 2696490660)

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Updated Business Mailing Address June 07, 2010

Registered at 7005 E W AVE, VICKSBURG, MI 490979506 (Tel: 2696491484)

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Provider Name / Credentials Updated June 07, 2010

Recorded as FREDERICK NELSON, R.PH

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2010

Pharmacist (License #5302021629 in MI)

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Initial NPI Registration & Enumeration June 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174551998
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: June 07, 2010
Deactivation Date: July 11, 2022

Mailing Address

7005 E W Ave

Vicksburg, MI 490979506

Phone: 2696491484

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.