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FREDS XPRESS 3926
NPI 1396762860
Pharmacy - Community/Retail Pharmacy in Vardaman, MS

Active since July 17, 2006
101 W SWEET POTATO ST, VARDAMAN, MS 38878(662) 682-7489(662) 682-9132 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2019, Aug 30, 2019, Aug 8, 2019 and 1 more (4 updates tracked since 2018).

About Freds Xpress 3926 NPPES

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

FREDS XPRESS 3926 (NPI 1396762860) is a healthcare organization registered as a community/retail pharmacy in Vardaman, 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

NPI1396762860
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address101 W SWEET POTATO STVardaman, MS 38878-9433
Mailing Address6625 Lenox Park Blvd., Suite 200Memphis, TN 38115 · (901) 238-2520 · Fax (901) 365-9820
Phone(662) 682-7489
Fax(662) 682-9132
Organization SubpartYesParent: Freds Inc
Authorized OfficialRahul KulkarniSvp Of Finance · (800) 374-7417
Enumeration DateJuly 17, 2006
Last NPPES UpdateDecember 6, 20194 updates tracked since enumeration
✔ NPI 1396762860 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 · 0403301FV
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 0403301FV (MS)
101 W SWEET POTATO ST, Vardaman, MS 38878
Open in Google Maps ↗

Other Names 1

Doing Business AsFreds Xpress 3926

Other Identifiers 2

Medicaid0330357MS
Other2519099Other Id Number-commercial Number

Other Providers at the Same Location NPPES 4

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

CHERYLL ANGEL RAY RPH
Pharmacist
101 W SWEET POTATO ST
VARDAMAN, MS 38878
Calhoun County (833) 773-1885
WILLIAM ELDON HESTER RPH
Pharmacist
101 W SWEET POTATO ST
VARDAMAN, MS 38878
Calhoun County (662) 682-7489
MR. BARRY DAYTON CRIDDLE R.PH.
Pharmacist
101 W SWEET POTATO ST
VARDAMAN, MS 38878
Calhoun County (662) 682-7489
SCPG MISSISSIPPI LLC
Pharmacy (Community/Retail Pharmacy)
101 W SWEET POTATO ST
VARDAMAN, MS 38878
Calhoun County (662) 682-7489

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 1396762860. It was assigned to this organization in the NPPES registry on July 17, 2006. The provider is doing business as Freds Xpress 3926.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 101 W Sweet Potato St, Vardaman, MS 38878. The listed phone number is (662) 682-7489.

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.