FREDS STORES OF TENNESSEE INC


Address: 1930 University Ave, Oxford, MS 38655-4114
Phone: 6622343376

FREDS STORES OF TENNESSEE INC (NPI# 1063444008) 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) 1063444008
Entity Type Organization
Organization Name FREDS STORES OF TENNESSEE INC
Other Organization Name FREDS PHARMACY 2521
Practice Address 1930 University Ave
Oxford
MS 38655-4114
Mailing Address 4300 New Getwell Rd
Memphis
TN 38118-6801
Practice Telephone 6622343376
Practice Fax Number 6625135706
Mailing Telephone 9012382520
Mailing Fax Number 9013659820
Enumeration Date 2006-07-07
Last Update Date 2007-11-29
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 333600000X Pharmacy 2258AFO MS Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
2258AFO MS Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MS 01526819 05
OTHER ID NUMBER-COMMERCIAL NUMBER 2516978 01

Other Provider/Organization Names

Other Name Type Code
FREDS PHARMACY 2521 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427454511 Freds Stores of Tennessee Inc Pharmacy 211 Three Oaks Drive, Medina, TN 38355 2014-11-17
1710383690 Freds Stores of Tennessee Inc Pharmacy 810 Se Washington St, Idabel, OK 74745-3442 2014-11-05
1265836142 Freds Stores of Tennessee Inc Pharmacy 1068 Highway 61 N., Tunica, MS 38676 2014-10-21
1740699958 Freds Stores of Tennessee Inc Pharmacy 510 S. Thomson Avenue, Iowa, LA 70647 2014-08-13
1801207287 Freds Stores of Tennessee Inc Pharmacy 988 Erwin Rd, Dunn, NC 28334-4526 2014-05-19
1205247681 Freds Stores of Tennessee Inc Pharmacy 2311 E Morris St, Dalton, GA 30721-4373 2014-05-19
1861802134 Freds Stores of Tennessee Inc Pharmacy 201 Walnut Street, Montezuma, GA 31063 2014-05-07
1851719199 Freds Stores of Tennessee Inc Pharmacy 218 East M W Watson Blvd., Daingerfield, TX 75638-2038 2014-04-03
1942623889 Freds Stores of Tennessee Inc Pharmacy 604 Northside Drive, Statesboro, GA 30458 2014-01-29
1972934263 Freds Stores of Tennessee Inc Pharmacy 312 Main Street Hwy 19, Baker, LA 70714 2013-12-11

Office Location

Street Address 1930 UNIVERSITY AVE
City OXFORD
State MS
Zip Code 38655-4114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548578867 Kelly Scott Pharmacist 1930 University Ave, Oxford, MS 38655-4114 2010-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619585809 Oxford Treatment Center, LLC Substance Abuse Rehabilitation Facility 616 Commerce Parkway, Oxford, MS 38655 2020-07-14
1760044465 Lindsay Low Beauchamp Speech-Language Pathologist 169 Ms-6 #102, Oxford, MS 38655 2019-07-02
1861058075 Tomiko D Mackey Social Worker 100 Carriage Cove, Oxford, MS 38655 2019-05-13
1174090039 Derionne Brooks Specialist/Technologist 972 Hathorn Road, University, MS 38655 2018-10-30
1497236327 Providence Companion Care Nurse's Aide 317 Heritage Dr Ste 3b, Oxford, MS 38655 2018-08-28
1255817292 Marcela Caroline Weber Counselor 152 Mississippi 7 South, Oxford, MS 38655 2018-07-12
1649775123 Oxford Outpatient Center, LLC Clinic/Center 611 Commerce Pkwy, Oxford, MS 38655 2018-03-27
1073039962 Sharon Yvette Holloway Social Worker 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 2017-08-22
1447774682 Courtney M Purvis Physical Therapist 300 Enterprise Dr Ste B, Oxford, MS 38655 2017-07-31
1649716580 Taylor Lynn Smith Counselor 152 Ms-7, Oxford, MS 38655 2017-01-17
Find all providers in zip 38655

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
1043861768 Oxford Rx Pharmacy 821 N Lamar Blvd, Oxford, MS 38655-2841 2019-09-24
1932220373 Walgreen Co. Pharmacy 200 S Locust St, Oxford, OH 45056-1718 2007-04-03
1629192661 Midtown Drugs Pharmacy 800 North Lamar, Midtown Drugs, Oxford, MS 38655 2007-03-16
1083738207 Waller's Discount Drugs, Inc. Pharmacy 2209 S Lamar Blvd, Oxford, MS 38655-5225 2007-03-16
1356439079 Family Pharmacy Inc Pharmacy 610 Quintard Dr, Oxford, AL 36203-1840 2006-10-10
1932142304 Alabama Cvs Pharmacy LLC Pharmacy 400 Oxford Exchange Blvd, Oxford, AL 36203-3459 2006-06-14
1477108322 Baptist Memorial Hospital North Mississippi, Inc Pharmacy 1100 Belk Blvd, Oxford, MS 38655-5242 2019-08-07
1285137547 Katherine Stovall Pharmacy 1900 Oxford Exchange Blvd, Oxford, AL 36203-3487 2018-03-13
1548713746 Price Chopper Inc Pharmacy 140 Main St, Oxford, CT 06478-1056 2016-07-25
1306216023 Oxford Premier Pharmacy, LLC Pharmacy 1735 University Ave, Ste B, Oxford, MS 38655 2015-10-07
Find all providers in OXFORD

Competitor

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City OXFORD
Zip Code 38655

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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