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

Zackary Frederiksen

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1336865534

Zackary Frederiksen is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2022.

Licensed in
ID
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1678 S Woodsage Ave
Meridian, ID 83642-8323
Phone: (208) 550-2380
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P10325 (ID)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence P10325 (ID)

Record details

NPI number1336865534
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address2219 12th Ave Rd, Nampa, ID 83686-6313

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