Freds Westside Pharmacy Inc
NPI 1265520290 · Community/Retail Pharmacy · Picayune, MS
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Freds Westside Pharmacy Inc is a Community/Retail Pharmacy organization in Picayune, MS (NPI 1265520290).
Provider details
- NPI number
- 1265520290
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Roger Cruse, Owner(601) 798-8888
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2019-08-05
Frequently asked questions
- What is Freds Westside Pharmacy Inc's NPI number?
- Freds Westside Pharmacy Inc's National Provider Identifier (NPI) is 1265520290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Freds Westside Pharmacy Inc?
- Freds Westside Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Freds Westside Pharmacy Inc located?
- Freds Westside Pharmacy Inc's practice location on file with NPPES is 207 Kirkwood St, Picayune, MS 39466-3835.
- What is Freds Westside Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Freds Westside Pharmacy Inc is (601) 798-8888.
- Does Freds Westside Pharmacy Inc accept Medicare?
- Freds Westside Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Freds Westside Pharmacy Inc?
- The authorized official listed on Freds Westside Pharmacy Inc's NPPES record is Roger Cruse, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Freds Westside Pharmacy Inc's NPI active?
- Yes — Freds Westside Pharmacy Inc's NPI (1265520290) is active in the NPPES registry as of the last update on 2019-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.