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

Mark R Frederiksen, RPH

Individual provider Pharmacist · NPI 1043565526

Mark R Frederiksen, RPH is a Pharmacist in Portage, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
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

2935 New Pinery Rd
Portage, WI 53901-9226
Phone: (608) 742-3886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 10269 (WI)

Record details

NPI number1043565526
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJuly 19, 2012
Last updated in NPPESJuly 19, 2012
Mailing address2935 New Pinery Rd, Portage, WI 53901-9226

Other providers in Portage