OrganizationActive
Freds Stores of Tennessee Inc
NPI 1710383690 · Community/Retail Pharmacy · Idabel, OK
Freds Stores of Tennessee Inc is a Community/Retail Pharmacy organization in Idabel, OK (NPI 1710383690).
Provider details
- NPI number
- 1710383690
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Freds Inc.
- Organization subpart
- Yes
- Authorized official
- Rahul Kulkarni, Svp of Finance(800) 374-7417
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
810 Se Washington St
Idabel, OK 74745-3442
Phone: (580) 208-2400
Fax: (580) 208-2401
Street-level locationGet directions
Mailing address
6625 Lenox Park Blvd.
Memphis, TN 38115
Other names (DBA / former)
- Doing business as
- Freds Pharmacy 3966
- Doing business as
- Freds Pharmacy 3966
Registry dates
- Enumerated
- 2014-11-05
- Last updated
- 2019-12-06
Frequently asked questions
- What is Freds Stores of Tennessee Inc's NPI number?
- Freds Stores of Tennessee Inc's National Provider Identifier (NPI) is 1710383690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Freds Stores of Tennessee Inc?
- Freds Stores of Tennessee Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Freds Stores of Tennessee Inc located?
- Freds Stores of Tennessee Inc's practice location on file with NPPES is 810 Se Washington St, Idabel, OK 74745-3442.
- What is Freds Stores of Tennessee Inc's phone number?
- The practice phone number listed in the NPPES registry for Freds Stores of Tennessee Inc is (580) 208-2400.
- Who is the authorized official for Freds Stores of Tennessee Inc?
- The authorized official listed on Freds Stores of Tennessee Inc's NPPES record is Rahul Kulkarni, Svp of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Freds Stores of Tennessee Inc's NPI active?
- Yes — Freds Stores of Tennessee Inc's NPI (1710383690) is active in the NPPES registry as of the last update on 2019-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.