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FREDS PHARMACY 2229
NPI 1023040961
Pharmacy - Community/Retail Pharmacy in Lucedale, MS

Active since July 07, 2006
11299 HIGHWAY 63 S, LUCEDALE, MS 39452(601) 947-8105(601) 947-1141 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Freds Pharmacy 2229 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDS PHARMACY 2229 (NPI 1023040961) is a healthcare organization registered as a community/retail pharmacy in Lucedale, Mississippi and active in the NPI registry since July 2006. The organization lists Ricky Chambers, Vp, as its authorized official.

NPPES Registry Identity

NPI1023040961
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address11299 HIGHWAY 63 SLucedale, MS 39452-6617
Mailing Address4300 New Getwell RdMemphis, TN 38118-6801 · (901) 238-2520 · Fax (901) 365-9820
Phone(601) 947-8105
Fax(601) 947-1141
Organization SubpartYesParent: Freds Inc
Authorized OfficialRicky ChambersVp · (901) 238-2477
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 30, 2012
✔ NPI 1023040961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MS · 5031012
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X · License 5031012 (MS)
11299 HIGHWAY 63 S, Lucedale, MS 39452
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Other Names 1

Doing Business AsFreds Pharmacy 2229

Other Identifiers 4

Medicare PIN512G730001MS
Medicare NSC0537670192
Other2520458Other Id Number-commercial Number
Medicaid0330605MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freds Stores Of Tennessee Inc's NPI number?

The NPI number for Freds Stores Of Tennessee Inc is 1023040961. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Freds Pharmacy 2229.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 11299 Highway 63 S, Lucedale, MS 39452. The listed phone number is (601) 947-8105.

What is Freds Stores Of Tennessee Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Freds Stores Of Tennessee Inc was last updated on April 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.