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FREDS PHARMACY 1171
NPI 1053343095
Pharmacy - Community/Retail Pharmacy in Brookhaven, MS

Active since July 07, 2006
218 20 S WHITWORTH, BROOKHAVEN, MS 39601(601) 835-0370(601) 835-3376 Get Directions Write a Review

NPPES record last updated: March 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Freds Pharmacy 1171 NPPES

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

FREDS PHARMACY 1171 (NPI 1053343095) is a healthcare organization registered as a community/retail pharmacy in Brookhaven, Mississippi and active in the NPI registry since July 2006. The organization lists Rick Chambers, Vp, as its authorized official.

NPPES Registry Identity

NPI1053343095
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address218 20 S WHITWORTHBrookhaven, MS 39601
Mailing Address4300 New Getwell RdMemphis, TN 38118-6801 · (901) 238-2520 · Fax (901) 365-9820
Phone(601) 835-0370
Fax(601) 835-3376
Organization SubpartYesParent: Freds Inc
Authorized OfficialRick ChambersVp · (901) 238-2477
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 9, 2012
✔ NPI 1053343095 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 · 23821FB
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 23821FB (MS)
218 20 S WHITWORTH, Brookhaven, MS 39601
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Other Names 1

Doing Business AsFreds Pharmacy 1171

Other Identifiers 4

Medicaid08105813MS
Other2517487Other Id Number-commercial Number
Medicare PIN512G730001MS
Medicare NSC0537670109

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 1053343095. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Freds Pharmacy 1171.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 218 20 S Whitworth, Brookhaven, MS 39601. The listed phone number is (601) 835-0370.

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 March 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.