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FREDS PHARMACY 3801
NPI 1114234549
Pharmacy - Community/Retail Pharmacy in Pascagoula, MS

Active since September 07, 2010
641 DELMAS AVE, PASCAGOULA, MS 39567(228) 769-6362 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Freds Pharmacy 3801 NPPES

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

FREDS PHARMACY 3801 (NPI 1114234549) is a healthcare organization registered as a community/retail pharmacy in Pascagoula, Mississippi and active in the NPI registry since September 2010. The organization lists Ricky Chambers, Vp, as its authorized official.

NPPES Registry Identity

NPI1114234549
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address641 DELMAS AVEPascagoula, MS 39567-4226
Mailing Address4300 New Getwell RdMemphis, TN 38118-6801 · (901) 238-2520 · Fax (901) 365-9820
Phone(228) 769-6362
Organization SubpartYesParent: Freds Inc
Authorized OfficialRicky ChambersVp · (901) 238-2477
Enumeration DateSeptember 7, 2010
Last NPPES UpdateNovember 5, 2010
✔ NPI 1114234549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 04529017 (MS)
641 DELMAS AVE, Pascagoula, MS 39567
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Other Names 1

Doing Business AsFreds Pharmacy 3801

Other Identifiers 2

Medicare NSC0537670374
Medicaid04529017MS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONTROLEX ENTERPRISES, INC.
Pharmacy (Community/Retail Pharmacy)
641 DELMAS AVE
PASCAGOULA, MS 39567
Jackson County (228) 769-6362

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 1114234549. It was assigned to this organization in the NPPES registry on September 7, 2010. The provider is doing business as Freds Pharmacy 3801.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 641 Delmas Ave, Pascagoula, MS 39567. The listed phone number is (228) 769-6362.

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 November 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.