NPIMap

Organization Active NPI

Freds Stores of Tennessee Inc

Doing business as Freds Pharmacy

  • Community/Retail Pharmacy
  • Corinth, MS
National Provider Identifier
1609808641
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FREDS STORES OF TENNESSEE INC
Doing business as
Freds Pharmacy
Practice address
2040 E Shiloh Rd
Corinth, MS 38834-3727
Phone
(662) 287-6355
Fax
(662) 287-0347
NPI assigned
Jul 7, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Alex Knight
Title
Dir of Third Party Operations
Phone
(901) 238-3625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1929PFC MS
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2040 E Shiloh Rd
Corinth, MS 38834-3727

Mailing address

2040 E Shiloh Rd
Corinth, MS 38834-3727

Other names 1

  • FREDS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Freds Pharmacy25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

2040 E Shiloh Rd
Corinth, MS 38834
Phone (662) 287-6355

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609808641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343727",
            "telephone_number": "662-287-6355",
            "fax_number": "662-287-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDS STORES OF TENNESSEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DIR OF THIRD PARTY OPERATIONS",
        "authorized_official_telephone_number": "901-238-3625"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "1929PFC",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.