FRED'S STORES OF TENNESSEE INC. (NPI# 1053785238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053785238 |
| Entity Type | Organization |
| Organization Name | FRED'S STORES OF TENNESSEE INC. |
| Other Organization Name | FRED'S PHARMACY #3331 |
| Practice Address |
1123 State Highway 110 N Whitehouse TX 75791-3055 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 9038395149 |
| Practice Fax Number | 9038392875 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2016-07-28 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 148857 | 05 |
| Other Name | Type Code |
|---|---|
| Fred's Pharmacy #3331 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497117881 | Fred's Stores of Tennessee Inc. | Pharmacy | 1550 S. Zach Hinton Parkway, Mcdonough, GA 30253 | 2016-03-24 |
| 1629443429 | Fred's Stores of Tennessee Inc. | Pharmacy | 620 E Franklin St Ste A, Sylvester, GA 31791-7189 | 2015-12-04 |
| 1043684228 | Fred's Stores of Tennessee Inc. | Pharmacy | 1803 E Gentry Pkwy, Tyler, TX 75702-3564 | 2015-11-25 |
| 1083088512 | Fred's Stores of Tennessee Inc. | Pharmacy | 1938 Main Street, Cadiz, KY 42211 | 2015-11-20 |
| 1346632460 | Fred's Stores of Tennessee Inc. | Durable Medical Equipment & Medical Supplies | 4401 Bemiss Rd, Valdosta, GA 31605-6049 | 2015-02-26 |
| 1639561756 | Fred's Stores of Tennessee Inc. | Pharmacy | 1442 Tift Ave N, Tifton, GA 31794-3545 | 2015-02-26 |
| 1023410727 | Fred's Stores of Tennessee Inc. | Pharmacy | 94 Upper Riverdale Rd Sw, Riverdale, GA 30274-2622 | 2014-09-24 |
| 1548662315 | Fred's Stores of Tennessee Inc. | Pharmacy | 1718 S Waukesha St, Bonifay, FL 32425-3114 | 2014-09-23 |
| 1750870192 | Fred's Stores of Tennessee Inc. | Pharmacy | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2018-05-01 |
| 1528509239 | Fred's Stores of Tennessee Inc. | Pharmacy | 13907 High Rd, Mabelvale, AR 72103-3212 | 2017-03-14 |
| Street Address |
1123 STATE HIGHWAY 110 N |
| City | WHITEHOUSE |
| State | TX |
| Zip Code | 75791-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487169538 | Ml Health Solutions, Pllc | Nurse Practitioner | 107 Stacy Drive, Whitehouse, TX 75791 | 2017-12-12 |
| 1356711808 | Natalie Nicole Starkey | Nurse Practitioner | 403 Sate Highway 110 North, Whitehouse, TX 75791 | 2015-09-28 |
| 1275946691 | Mcdonald Chiropractic Care Inc | Chiropractor | 504 B St Hwy 110 N, Whitehouse, TX 75791 | 2014-06-03 |
| 1821200148 | Kelly Smith | Counselor | 108 Leamington Spa, Whitehouse, TX 75791 | 2007-05-07 |
| 1144432287 | Whitehouse Isd | Local Education Agency (LEA) | 106 Wildcat Dr., Whitehouse, TX 75791 | 2007-05-03 |
| 1912030248 | Janet Hurley | Family Medicine | 601 N Highway 110, Bay O, Whitehouse, TX 75791 | 2007-03-14 |
| 1013062116 | Lifeline Scooters | Durable Medical Equipment & Medical Supplies | 508-d Hwy 110 N., Whitehouse, TX 75791 | 2007-01-25 |
| 1841368156 | Randall Gordon White | Dentist | 402 Hwy 110 N, Whitehouse, TX 75791 | 2006-12-04 |
| 1851492060 | Earl Pat Wright | Family Medicine | 15632 Hwy 110 South, Suite 19, Whitehouse, TX 75791 | 2006-09-26 |
| 1508855065 | Michael B Driggs | Counselor | 403 State Highway 110 North, Whitehouse, TX 75791 | 2005-10-18 |
| Find all providers in zip 75791 | ||||
| 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 |
|---|---|---|---|---|
| 1356862403 | John Thomas Gentile | Pharmacy | 5911 Weckerly Rd, Whitehouse, OH 43571-9648 | 2017-06-29 |
| 1720185226 | Cvs Pharmacy Inc | Pharmacy | 100 E Main St, Whitehouse, TX 75791 | 2006-09-20 |
| 1326144924 | Larry Reed | Pharmacy | 5911 Weckerly Rd, Whitehouse, OH 43571-9648 | 2006-09-15 |
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|---|---|---|---|---|
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| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | WHITEHOUSE |
| Zip Code | 75791 |
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| 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.