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FREDS PHARMACY 2781
NPI 1043242084
Pharmacy - Community/Retail Pharmacy in Rolling Fork, MS

Active since July 07, 2006
20917 HIGHWAY 61 N, ROLLING FORK, MS 39159(662) 873-4723(662) 873-4002 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2019, Aug 30, 2019, Aug 6, 2019 (3 updates tracked since 2019).

About Freds Pharmacy 2781 NPPES

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

FREDS PHARMACY 2781 (NPI 1043242084) is a healthcare organization registered as a community/retail pharmacy in Rolling Fork, Mississippi and active in the NPI registry since July 2006. The organization lists Rahul Kulkarni, Svp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1043242084
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address20917 HIGHWAY 61 NRolling Fork, MS 39159-5027
Mailing Address6625 Lenox Park Blvd., Suite 200Memphis, TN 38115 · (901) 238-2520 · Fax (901) 365-9820
Phone(662) 873-4723
Fax(662) 873-4002
Organization SubpartYesParent: Freds Inc
Authorized OfficialRahul KulkarniSvp Of Finance · (800) 374-7417
Enumeration DateJuly 7, 2006
Last NPPES UpdateDecember 6, 20193 updates tracked since enumeration
✔ NPI 1043242084 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 · 0310201FR
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 0310201FR (MS)
20917 HIGHWAY 61 N, Rolling Fork, MS 39159
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Other Names 1

Doing Business AsFreds Pharmacy 2781

Other Identifiers 2

Medicaid0330202MS
Other2518340Other Id Number-commercial Number

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 1043242084. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Freds Pharmacy 2781.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 20917 Highway 61 N, Rolling Fork, MS 39159. The listed phone number is (662) 873-4723.

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 December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.