FREDS STORES OF TENNESSEE, INC


Address: 101 N Webster St, Cuthbert, GA 39840-2522
Phone: 2297322893

FREDS STORES OF TENNESSEE, INC (NPI# 1033447586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033447586
Entity Type Organization
Organization Name FREDS STORES OF TENNESSEE, INC
Other Organization Name FREDS PHARMACY 1359
Practice Address 101 N Webster St
Cuthbert
GA 39840-2522
Mailing Address 4300 New Getwell Rd
Memphis
TN 38118-6801
Practice Telephone 2297322893
Mailing Telephone 9012382520
Mailing Fax Number 9013659820
Enumeration Date 2009-11-20
Last Update Date 2011-08-10
Authorized Official Name RICKY CHAMBERS (VP)
Authorized Official Telephone 9012382477
Authorized Official Credential PHARMD
Is Organization Subpart Y
Parent Organization Name FREDS INC
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies PHRE009631 GA Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHRE009631 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP 1159359 01
GA 572289729A 05

Other Provider/Organization Names

Other Name Type Code
Freds Pharmacy 1359 Doing Business As Name - Organization

Office Location

Street Address 101 N WEBSTER ST
City CUTHBERT
State GA
Zip Code 39840-2522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972811297 Heather Page Pharmacist 101 N Webster St, Cuthbert, GA 39840-2522 2010-09-21
1720424732 William Hampton Ward IIi Pharmacist 101 N Webster St, Cuthbert, GA 39840-2522 2013-05-16
1811205065 Leon Caldwell Patterson Jr. Pharmacist 101 N Webster St, Cuthbert, GA 39840-2522 2010-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366867533 Rashema Vandetta Warren Case Manager/Care Coordinator 90 Villa Nova Street, New Horizons, Cuthbert, GA 39840 2014-02-25
1417378415 Temperess Johnson Adult Companion 72 Cleborne Street, Cuthbert, GA 39840 2013-12-18
1730500976 Mary Gibbs Case Manager/Care Coordinator 72 Clebourne Street, Cuthbert, GA 39840 2013-12-13
1023448917 Katie Wright Counselor 72 Clebourne St, Cuthbert, GA 39840 2013-11-14
1588952048 Michael Carr Jr. Dentist 84 Court Street, Cuthbert, GA 39840 2011-07-19
1518286764 Lisa Ann Hardwick Occupational Therapy Assistant 2058 Hghway 82, Cuthbuert, GA 39840 2010-05-27
1952630154 Naomi S Jenkins Counselor 264 Lumpkin Street, Cuthbert, GA 39840 2009-12-17
1467647875 Mental Retardation Waiver Program Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 119 Claborn St., Cuthbert, GA 39840 2007-09-10
1376614073 Randolph County Coutny School System Local Education Agency (LEA) 3451 Ga Hwy 266, Cuthbert, GA 39840 2006-11-13
1437632890 Gary Nell Glover Community Health Worker 72 Clebourne Street, Cuthbert, GA 39840 2018-09-12
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992354922 Adams Family Pharmacy, Too, Inc Pharmacy 98 Peachtree St, Cuthbert, GA 39840-5807 2019-09-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154922441 Southern Pharmacy Group LLC Pharmacy 110 Allison St., Jesup, GA 31545 2020-11-04
1184225526 Svdp Georgia Community Pharmacy LLC Pharmacy 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 2020-11-03
1194325860 Panola Pharmacy LLC Pharmacy 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 2020-10-30
1659971539 Bob and Jeff's Hometown Pharmacy of Thomasville, LLC Pharmacy 309 Smith Ave, Thomasville, GA 31792-5534 2020-10-29
1679171979 Dfg LLC Pharmacy 638 Historic Hwy 441 Suite A, Demorest, GA 30530 2020-10-09
1033716915 Au Medical Center, Inc. Pharmacy 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 2020-10-05
1043817208 Mlk Pharmacy2.0 Pharmacy 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 2020-10-01
1508470964 Swain Drug Company LLC Pharmacy 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 2020-09-03
1205446341 Sunny Pharmacy Pharmacy 5364 Jonesboro Rd, Lake City, GA 30260-3557 2020-08-04
1841818044 Hospital Authority of Miller County Pharmacy 213 Delores Street, Colquitt, GA 39837 2020-07-14
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Competitor

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City CUTHBERT
Zip Code 39840

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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