Freds Stores of Tennessee Inc
Organization Active NPI Community/Retail Pharmacy · Corinth, MS
NPI 1609808641 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1609808641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- FREDS STORES OF TENNESSEE INC
- Practice address
- 2040 E Shiloh Rd
Corinth, MS 38834-3727 - Phone
- (662) 287-6355
- Fax
- (662) 287-0347
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Alex Knight
- Title
- Dir of Third Party Operations
- Phone
- (901) 238-3625
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Freds Pharmacy
Locations
2040 E Shiloh Rd
Corinth, MS 38834
Phone (662) 287-6355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 1929PFC | MS | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
2040 E Shiloh Rd
Corinth, MS 38834-3727
Mailing address
2040 E Shiloh Rd
Corinth, MS 38834-3727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07381512 | Medicaid | MS | |
| 2514645 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- FREDS PHARMACY
Other providers in Corinth, MS
- Blakley Atkins Fowler
- Jacqueline A Fraiser
- Ishmael Tomas Francisco
- Randall Parks Frazier
- Freds Stores of Tennessee Inc
- Megan Gaillard
- Vicki Denise Gann
- Tracy O. Gardner
- Garrett Eye Clinic PLLC
- Jennifer H Garrett
All providers in Corinth, MS · Community/Retail Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.