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FREDS PHARMACY OF QUITMAN LLC
NPI 1306102470
Pharmacy - Community/Retail Pharmacy in Vicksburg, MS

Active since April 03, 2012
1123 WASHINGTON ST, VICKSBURG, MS 39183(601) 636-2756 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Freds Pharmacy Of Quitman Llc NPPES

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

FREDS PHARMACY OF QUITMAN LLC (NPI 1306102470) is a healthcare organization registered as a community/retail pharmacy in Vicksburg, Mississippi and active in the NPI registry since April 2012. The organization lists Rick Chambers, Vice President, as its authorized official.

NPPES Registry Identity

NPI1306102470
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS PHARMACY OF QUITMAN LLC
Location Address1123 WASHINGTON STVicksburg, MS 39183-2959
Mailing AddressPo Box 5105Meridian, MS 39302-5105 · (601) 693-2655
Phone(601) 636-2756
Organization SubpartYes
Authorized OfficialRick ChambersVice President · (901) 238-2477
Enumeration DateApril 3, 2012
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1306102470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1123 WASHINGTON ST, Vicksburg, MS 39183
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Other Identifiers 3

Medicaid04807541MS
Medicare PIN302G870981MS
Medicare NSC1255890004MS

Other Providers at the Same Location NPPES 2

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

MRS. TRACIE LYNN HALE-SMITH
Pharmacist
1123 WASHINGTON ST
VICKSBURG, MS 39183
Warren County (601) 636-2756
CORNER DRUG STORE
Pharmacist
1123 WASHINGTON ST
VICKSBURG, MS 39183
Warren County (601) 636-2756

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 Pharmacy Of Quitman LLC's NPI number?

The NPI number for Freds Pharmacy Of Quitman LLC is 1306102470. It was assigned to this organization in the NPPES registry on April 3, 2012.

Where is Freds Pharmacy Of Quitman LLC located?

Freds Pharmacy Of Quitman LLC is located at 1123 Washington St, Vicksburg, MS 39183. The listed phone number is (601) 636-2756.

What is Freds Pharmacy Of Quitman LLC'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 Pharmacy Of Quitman LLC was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.