FREDS STORES OF TENNESSEE INC NPI 1215293758

NPI Information

  • NPI: 1215293758
  • Provider Name: FREDS STORES OF TENNESSEE INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: FREDS XPRESS 3888
  • Address: 2173 S LAMAR BLVD
    OXFORD, MS
    ZIP 38655
  • Phone: (662) 234-3610

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NPI Details

FREDS STORES OF TENNESSEE INC is a community/retail pharmacy pharmacy in Oxford, MS. The provider is 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. FREDS STORES OF TENNESSEE INC NPI is 1215293758. The provider is registered as an organization entity type.
The provider Is Doing Business As Freds Xpress 3888.

The provider's business location address is:

2173 S LAMAR BLVD
OXFORD, MS
ZIP 38655-223
Phone: (662) 234-3610

The provider's authorized official is Rick Chambers .
The authorized official title is Vice President and has the following contact phone number (901) 238-2477.

The enumeration date for this NPI number is 4/10/2012 and was last updated on 9/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10537670421MEDICARE NSC
205459249MEDICAIDMISSISSIPPI
3512G730001MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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