FRED'S STORES OF TENNESSEE INC (NPI# 1043609266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043609266 |
| Entity Type | Organization |
| Organization Name | FRED'S STORES OF TENNESSEE INC |
| Other Organization Name | SUPER DRUGS #3976 |
| Practice Address |
13092 N Main St Somerville TN 38068-1421 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 9014659888 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-09-04 |
| Authorized Official Name | RICK CHAMBERS (VICE PRESIDENT) |
| Authorized Official Telephone | 9012382477 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRED'S INC. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Super Drugs #3976 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356718050 | Fred's Stores of Tennessee Inc | Pharmacy | 978 Ga Highway 46 E., Metter, GA 30439 | 2015-08-28 |
| 1972901189 | Fred's Stores of Tennessee Inc | Pharmacy | 1117 Lincoln Park Rd, Springfield, KY 40069 | 2014-12-22 |
| 1306368352 | Fred's Stores of Tennessee Inc | Pharmacy | 13907 High Rd, Mabelvale, AR 72103-3212 | 2017-07-12 |
| 1710364344 | Fred's Stores of Tennessee Inc | Pharmacy | 702 W Highway 25 70, Newport, TN 37821-9020 | 2015-05-04 |
| Street Address |
13092 N MAIN ST |
| City | SOMERVILLE |
| State | TN |
| Zip Code | 38068-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548338304 | Middlecoff Super D Drugs 116 Inc | Pharmacy | 13092 N Main St, Somerville, TN 38068-1421 | 2006-12-01 |
| 1437405263 | Vickie S Thompson | Pharmacy Technician | 13092 N Main St, Somerville, TN 38068-1421 | 2012-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063850477 | Paula Lenore Walker | Nurse Practitioner | 25 Woodbridge, Suite A, Somerville, TN 38068 | 2013-06-07 |
| 1902026107 | Alliance Health Services, Inc | Home Health | 201 Lakeview Dr, Suite B, Somerville, TN 38068 | 2007-04-27 |
| 1730239997 | State of Tennessee | Public Health or Welfare | 90 Yum Yum Road, Somerville, TN 38068 | 2007-01-11 |
| 1366514697 | Cynthia D Elder | Pharmacy Technician | 13092 North Main Street, Summerville, TN 38068 | 2006-11-14 |
| 1275612053 | Bessie M Hoskins | Pharmacy Technician | 13092 North Main, Somerville, TN 38068 | 2006-11-03 |
| 1245319797 | Deborah Louise Davis | Pharmacy Technician | 8885 La Grange Rd, Somerville, TN 38068 | 2006-11-03 |
| 1891876868 | John David Cima | Dentist | 13190 N. Main St, Somerville, TN 38068 | 2006-10-18 |
| 1750478277 | Marie Middlecoff Stevens | Pharmacist | 13092 N Main Street, Super Drugs, Somerville, TN 38068 | 2006-10-06 |
| 1588675276 | Wilder Clinic | Family Medicine | 201 Lake View, Ste A Wilder Clinic, Sunerville, TN 38068 | 2006-08-10 |
| 1588687644 | Freds Stores of Tennessee Inc | Pharmacy | Highway 64 West, Somerville, TN 38068 | 2006-07-26 |
| Find all providers in zip 38068 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598237406 | Kcl Inc | Pharmacy | 17392 Us Highway 64, Somerville, TN 38068-6160 | 2018-12-18 |
| 1073038352 | Walgreen Co | Pharmacy | 14 Mcgrath Hwy Ste 3, Somerville, MA 02143-4509 | 2017-08-08 |
| 1811283377 | Saker Shoprites Inc | Pharmacy | 1 Davenport St, Somerville, NJ 08876-2101 | 2011-06-23 |
| 1396801007 | Professional Care Services of West Tn Inc | Pharmacy | 12615 S Main, Somerville, TN 38068-1673 | 2006-12-28 |
| 1710086178 | Cvs Pharmacy Inc | Pharmacy | 532 Medford St, Somerville, MA 02145-2657 | 2006-09-22 |
| 1093812851 | Pathmark Stores Inc | Pharmacy | 100 Veterans Memorial Dr W, Somerville, NJ 08876-2934 | 2006-09-20 |
| 1609881804 | Walgreen Eastern Co Inc | Pharmacy | 16 Beacon St, Somerville, MA 02143-4311 | 2006-07-29 |
| 1568824415 | Walgreen Co. | Pharmacy | 110 Rehill Ave, Ste 8l002, Somerville, NJ 08876 | 2016-03-21 |
| 1417058439 | Marg Pharmacy Inc | Pharmacy | 40 West Main Street, Somerville, NJ 08876 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
| City | SOMERVILLE |
| Zip Code | 38068 |
Please comment or provide details below to improve the information on FRED'S STORES OF TENNESSEE INC.
| 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.