Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Walter Frederick, RPH

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1033759899

Jerry Walter Frederick, RPH is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

4025 S Old State Road 37
Bloomington, IN 47401-7482
Phone: (812) 824-5205
Fax: (812) 824-5207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 26012786A (IN)

Record details

NPI number1033759899
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJanuary 9, 2020
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020
Mailing address4025 S Old State Road 37, Bloomington, IN 47401-7482

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