FREDS STORES OF TENNESSEE INC (NPI# 1215060322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215060322 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 2129 |
| Practice Address |
718 Athens Road Lexington GA 30648 |
| Mailing Address |
6625 Lenox Park Blvd. Suite 200 Memphis TN 38115 |
| Practice Telephone | 7067437497 |
| Practice Fax Number | 7067437596 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | JOSEPH ANTO (CEO) |
| Authorized Official Telephone | 9013623733 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDS INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE009132 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000367485G | 05 | |
| NCPDP | 1155452 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 2129 | Doing Business As Name - Organization |
| 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 |
| Street Address |
718 ATHENS ROAD |
| City | LEXINGTON |
| State | GA |
| Zip Code | 30648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712151 | Kristin Pitts | Registered Nurse | 219 Boggs St, Lexington, GA 30648 | 2019-10-28 |
| 1164076600 | Oglethorpe Ear, Nose & Throat, LLC | Otolaryngology | 219 West Boggs Street, Lexington, GA 30648 | 2019-08-01 |
| 1790176907 | Optimum Healthcare Solutions | Durable Medical Equipment & Medical Supplies | 245 N. Street, Crawford, GA 30648 | 2015-02-10 |
| 1356405047 | William D Tumlin | Family Medicine | 774 Athens Road, Lexington, GA 30648 | 2006-12-20 |
| 1063432979 | Lexinton Pharmacies Inc. | Pharmacist | 778 Athens Rd, Lexington, GA 30648 | 2006-07-20 |
| 1659804110 | Oglethorpe County Health Department | Clinic/Center | 305 Union Point Rd, Lexington, GA 30648 | 2017-04-11 |
| 1588039069 | Brandon L. Hardy | Social Worker | 247 Union Point St, Lexington, GA 30648 | 2015-12-09 |
| 1104986827 | Carlos Rodriguez-feo | Pharmacist | 778 Athens Rd, Lexington, GA 30648 | 2006-12-11 |
| 1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
| 1457660854 | Leigh Anne Bridges | Pharmacist | 718 Athens Rd, Lexington, GA 30648-1907 | 2010-10-02 |
| Find all providers in zip 30648 | ||||
| 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 |
|---|---|---|---|---|
| 1477188464 | Redding Drug LLC | Pharmacy | 431 Redding Rd Ste 140, Lexington, KY 40517-2534 | 2020-03-10 |
| 1295372068 | Hometown Pharmacy of Lexington,pllc | Pharmacy | 2860 Richmond Rd Ste 190, Lexington, KY 40509-2766 | 2019-11-29 |
| 1447807458 | Saint Joseph Health System, Inc | Pharmacy | 1401 Harrodsburg Rd Ste B375, Lexington, KY 40504-3700 | 2019-08-23 |
| 1013490978 | Jason Lee Ratliff | Pharmacy | 740 South Limestone Street Room J-134, Lexington, KY 40536-0001 | 2018-09-07 |
| 1912433228 | Family Pharmacy LLC | Pharmacy | 4316 S Nc Highway 150, Lexington, NC 27295-5161 | 2017-05-05 |
| 1730564733 | Sunshine Pharmacy Services LLC | Pharmacy | 1856 S Lake Dr Ste K, Lexington, SC 29073-7225 | 2015-07-21 |
| 1184008435 | Your Care Pharmacy of Kentucky, LLC | Pharmacy | 3660 Rabbits Foot Trl, Unit 1, Lexington, KY 40503-3750 | 2015-07-16 |
| 1932532066 | Costco Wholesale Corporation | Pharmacy | 1500 Fitzgerald Ct Ste 100, Lexington, KY 40509 | 2013-08-13 |
| 1588007090 | Pharmacy Surge Unit #1 | Pharmacy | 808 Newtown Cir, Lexington, KY 40511-1230 | 2013-04-15 |
| 1255620464 | Broadway Clinic Pharmacy Inc | Pharmacy | 698 E New Circle Rd, Lexington, KY 40505-2948 | 2011-03-29 |
| Find all providers in LEXINGTON | ||||
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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.