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FREDS XPRESS NPI 1730200114


NPI Information

NPI: 1730200114
Provider Name: FREDS XPRESS

Doing Business As: FREDS STORES OF TENNESSEE INC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
305 FRONT ST
TAYLORSVILLE, MS
ZIP 39168
Phone: (601) 785-6812
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FREDS XPRESS is a community/retail pharmacy pharmacy in Taylorsville, 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 XPRESS NPI is 1730200114. The provider is registered as an organization entity type.
The provider Is Doing Business As Freds Stores Of Tennessee Inc.

The provider's business location address is:

305 FRONT ST
TAYLORSVILLE, MS
ZIP 39168-818
Phone: (601) 785-6812
Fax: (601) 785-4993

The provider's authorized official is Ricky Chambers .
The authorized official title is Exec Vp and has the following contact phone number (901) 238-2477.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.


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 Pharmacy03081012MISSISSIPPIYes

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
12586785OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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: 5/5/2024

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