Freds Stores of Tennessee Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FREDS STORES OF TENNESSEE INC

Doing business as

Freds Xpress 3888

Practice address

2173 S Lamar Blvd
Oxford, MS 38655-5223

Phone

(662) 234-3610

NPI assigned

Apr 10, 2012

Organization subpart

Yes

Parent organization

FREDS INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rick Chambers

Title

Vice President

Phone

(901) 238-2477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Freds Xpress 3888 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1215293758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 NEW GETWELL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186801",
            "telephone_number": "901-238-2520",
            "fax_number": "901-365-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555223",
            "telephone_number": "662-234-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDS STORES OF TENNESSEE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDS INC",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-238-2477"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05459249",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freds Xpress 3888",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas D Fowlkes, M. D.
• Ariel Fox, BSW
• Cynthia Francis, MAC
• Jacob Franklin
• Leslie Frazier, PA-C
• Pamela Mashelle Frost, M.S.
• Shannon Michelle Fryery, NP
• Amber Fuller, M.A.
• Dene M. Fulton, P.T.
• Michael G Fulton, P. T.

• Community/Retail Pharmacy in Oxford, MS
• Providers in Oxford, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.