FREDS STORES OF TENNESSEE INC. (NPI# 1255609871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255609871 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC. |
| Other Organization Name | FREDS PHARMACY 3774 |
| Practice Address |
21361 Whyte Hardee Blvd. Hardeeville SC 29927 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 8437846222 |
| Practice Fax Number | 8437846223 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2012-09-11 |
| Authorized Official Name | RICK CHAMBERS (VICE PRESIDENT) |
| Authorized Official Telephone | 9012382477 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 713653 | 05 |
| Other Name | Type Code |
|---|---|
| Freds Pharmacy 3774 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770906737 | Freds Stores of Tennessee Inc. | Pharmacy | 808 Nc Highway 69, Hayesville, NC 28904-9696 | 2014-01-28 |
| 1275963753 | Freds Stores of Tennessee Inc. | Pharmacy | 418 A West Central Avenue, Jamestown, TN 38556 | 2013-11-19 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1043659394 | Freds Stores of Tennessee Inc. | Pharmacy | 2110 Goodman Rd E, Southaven, MS 38672-9006 | 2013-06-20 |
| 1285970988 | Freds Stores of Tennessee Inc. | Pharmacy | 5751 Shed Rd, Bossier City, LA 71111 | 2012-12-27 |
| 1447524145 | Freds Stores of Tennessee Inc. | Pharmacy | 400 W. Mckinley Ave., Haughton, LA 71037-9449 | 2012-02-28 |
| 1790053502 | Freds Stores of Tennessee Inc. | Pharmacy | 652 Hwy 365, Mayflower, AR 72106 | 2011-12-07 |
| 1013299080 | Freds Stores of Tennessee Inc. | Pharmacy | 306 Lamar St, Kilmichael, MS 39747-9732 | 2011-09-15 |
| 1588061394 | Freds Stores of Tennessee Inc. | Pharmacy | 214 S Main St, Fairmont, NC 28340-1904 | 2014-11-21 |
| 1104235316 | Freds Stores of Tennessee Inc. | Pharmacy | 211 South Main Street, Morgantown, KY 42261 | 2014-08-13 |
| Street Address |
21361 WHYTE HARDEE BLVD. |
| City | HARDEEVILLE |
| State | SC |
| Zip Code | 29927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508305087 | Watauga Recovery Center,pc | Family Medicine | 21563 Whyte Hardee Blvd, Hardeeville, SC 29927 | 2017-02-17 |
| 1730546755 | Sara Silva | Counselor | 290 New River Parkway, Hardeville, SC 29927 | 2016-01-21 |
| 1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
| 1407283757 | Jann Denoncour | Occupational Therapist | 150 Hurricane Alley, Hardeeville, SC 29927 | 2013-10-02 |
| 1538316575 | Coastal Carolina Medical Center Inc | Emergency Medicine | 1000 Medical Drive, Hardeeville, SC 29927 | 2008-08-21 |
| 1548350937 | Robert Leroy Irby | Pharmacist | 522 Stiney Rd, Hardeeville, SC 29927 | 2006-10-13 |
| 1467466300 | B-j-h Comp. Health Services | Pharmacy | 552 Stiney Rd, Hardeeville, SC 29927 | 2006-07-28 |
| 1720006554 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4400 Highway 278, Hardeeville, SC 29927 | 2006-07-18 |
| 1891737961 | Peter Frank | Family Medicine | 21563 A Whyte Hardee Blvd, Hardeeville, SC 29927 | 2006-06-12 |
| 1407378508 | Rebecca Lynn Darroudi | Family Medicine | 176 Dermis Rd, Hardeeville, SC 29927 | 2017-07-10 |
| Find all providers in zip 29927 | ||||
| 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] |
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|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1053918458 | Johns Island Pharmacy LLC | Pharmacy | 3133 Maybank Hwy, Johns Island, SC 29455-4838 | 2020-10-08 |
| 1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
| 1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
| City | HARDEEVILLE |
| Zip Code | 29927 |
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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.