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FREDS PHARMACY 1091
NPI 1598790677
Pharmacy - Community/Retail Pharmacy in Pearl, MS

Active since July 11, 2006
5760 HIGHWAY 80 E, PEARL, MS 39208(601) 664-0202(601) 664-0730 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Freds Pharmacy 1091 NPPES

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

FREDS PHARMACY 1091 (NPI 1598790677) is a healthcare organization registered as a community/retail pharmacy in Pearl, Mississippi and active in the NPI registry since July 2006. The organization lists Ricky Chambers, Vp, as its authorized official.

NPPES Registry Identity

NPI1598790677
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address5760 HIGHWAY 80 EPearl, MS 39208-8930
Mailing Address4300 New Getwell RdMemphis, TN 38118-6801 · (901) 238-2520 · Fax (901) 365-9820
Phone(601) 664-0202
Fax(601) 664-0730
Organization SubpartYesParent: Freds Inc
Authorized OfficialRicky ChambersVp · (901) 238-2477
Enumeration DateJuly 11, 2006
Last NPPES UpdateNovember 30, 2007
✔ NPI 1598790677 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 · 4998012
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 4998012 (MS)
5760 HIGHWAY 80 E, Pearl, MS 39208
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Other Names 1

Doing Business AsFreds Pharmacy 1091

Other Identifiers 3

Medicare NSC0537670194
Other2520408Other Id Number-commercial Number
Medicaid330589MS

Other Providers at the Same Location NPPES

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

MR. DAVID E BOZONE JR. R.PH.
Pharmacist
5760 HIGHWAY 80 E
PEARL, MS 39208
Rankin County (601) 664-0202

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 1598790677. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as Freds Pharmacy 1091.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 5760 Highway 80 E, Pearl, MS 39208. The listed phone number is (601) 664-0202.

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 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.