FREDS XPRESS 3666
NPI 1114943784
Pharmacy - Community/Retail Pharmacy in Itta Bena, MS

Active since July 15, 2006
118 HUMPHREYS ST, ITTA BENA, MS 38941(662) 254-6241(662) 254-9907 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Freds Xpress 3666 NPPES

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

FREDS XPRESS 3666 (NPI 1114943784) is a healthcare organization registered as a community/retail pharmacy in Itta Bena, Mississippi and active in the NPI registry since July 2006. The organization lists Ricky Chambers, Vp, as its authorized official.

NPPES Registry Identity

NPI1114943784
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address118 HUMPHREYS STItta Bena, MS 38941-2004
Mailing Address4300 New Getwell RdMemphis, TN 38118-6801 · (901) 238-2520 · Fax (901) 365-9820
Fax(662) 254-9907
Organization SubpartYesParent: Freds Inc
Authorized OfficialRicky ChambersVp · (901) 238-2477
Enumeration DateJuly 15, 2006
Last NPPES UpdateDecember 4, 2007
NPI 1114943784 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 · 0351201FI
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 0351201FI (MS)
118 HUMPHREYS ST, Itta Bena, MS 38941

Other Names 1

Doing Business AsFreds Xpress 3666

Other Identifiers 3

Other2518756Other Id Number-commercial Number
Medicaid0330269MS
Medicare NSC0537670110

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 1114943784. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Freds Xpress 3666.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 118 Humphreys St, Itta Bena, MS 38941. The listed phone number is (662) 254-6241.

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 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.