Freds Pharmacy 1736

Primary specialty

PharmacyTaxonomy code 333600000X

License

E6524 Issued in MS

Legal business name

FREDS PHARMACY 1736

Practice address

813 W Park Ave
Greenwood, MS 38930-2824

Phone

(662) 455-3529

Fax

(662) 455-2142

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Rick Chambers, PHARM D

Title

Sr.VP Pharmacy

Phone

(800) 374-7417

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1669713715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W PARK AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302824",
            "telephone_number": "662-455-3529",
            "fax_number": "662-455-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W PARK AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302824",
            "telephone_number": "662-455-3529",
            "fax_number": "662-455-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDS PHARMACY 1736",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "SR.VP PHARMACY",
        "authorized_official_telephone_number": "18003747417",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "E6524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrin A. Flowers, FNP-BC
• Alain Lesage Fondjo Domkam, MD
• Rosie Denice Fort Brownlow
• David Franklin, CRNA
• Fredrick J Bradshaw MD & Joyce J Bradshaw MD Inc
• Hillary Freeman, PHARMD
• G a Carmichael Family Health Center, Inc
• G a Carmichael Family Health Center, Inc
• G.a. Carmichael Family Health Center, Inc.
• Garden Park

• All providers in Greenwood, MS
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.