Freds Westside Pharmacy Inc
Freds Westside Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Picayune, MS, holding Type 2 (organization) NPI 1265520290 since 2006. The authorized official on file is Roger Cruse, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265520290 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Freds Westside Pharmacy Inc |
| Practice address | 207 KIRKWOOD ST, Picayune, MS, 39466 |
| Phone | 6017988888 |
| Fax | 6017991012 |
| Enumeration date | 2006-10-11 |
| Last updated in NPPES | 2019-08-05 |
Authorized official
| Name | Roger Cruse |
|---|---|
| Title | Owner |
| Phone | 6017988888 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0330105 | Medicaid | MS | — |
| 01786239 | Other | MS | MEDICAID DMERC |
Copy-ready billing details
Provider: Freds Westside Pharmacy Inc NPI: 1265520290 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 207 KIRKWOOD ST, Picayune, MS, 39466
Verify this record
Cross-check NPI 1265520290 against the authoritative CMS record: view Freds Westside Pharmacy Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Freds Westside Pharmacy Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-08-05.