FREDS STORES OF TENNESSEE INC (NPI# 1306878343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306878343 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 1011 |
| Practice Address |
107 N Meridian St Aberdeen MS 39730-2635 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 6623690060 |
| Practice Fax Number | 6623696324 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-11-13 |
| 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 |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 0395101FA | MS | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0395101FA | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2518996 | 01 | |
| MS | 0330311 | 05 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 1011 | 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 |
107 N MERIDIAN ST |
| City | ABERDEEN |
| State | MS |
| Zip Code | 39730-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982912333 | Holly Elizabeth Colbert | Pharmacist | 107 N Meridian St, Aberdeen, MS 39730-2635 | 2010-09-20 |
| 1023535812 | Kristen Shay O'brian | Pharmacist | 107 N Meridian St, Aberdeen, MS 39730-2635 | 2017-08-23 |
| 1194033555 | Trellis M. Haney | Pharmacist | 107 N Meridian St, Aberdeen, MS 39730-2635 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1578638532 | Leonard J Goodgame Jr. | Dentist | 207 West Commerce, Aberdeen, MS 39730 | 2006-11-22 |
| 1295813210 | Thomas Banks Shepherd Jr. | Dentist | 116 E Washington Street, Aberdeen, MS 39730 | 2006-11-01 |
| 1619490810 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Highway 145 N, Aberdeen, MS 39730 | 2017-07-19 |
| 1538454855 | Mark Fitzhugh Breland | Dentist | 513 W Commerce St, Aberdeen, MS 39730 | 2011-06-15 |
| 1649446212 | Cheyenne's Total Care/transporation | Non-emergency Medical Transport (VAN) | 122 W Commerce St, Aberdeen, MS 39730 | 2008-05-05 |
| 1386689438 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson Street, Suite 5, Aberdeen, MS 39730-0000 | 2006-06-20 |
| 1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| Find all providers in zip 39730 | ||||
| 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 |
|---|---|---|---|---|
| 1659448371 | Southern Pines Prescription Shoppe | Pharmacy | 1902 N Sandhills Blvd Ste B, Aberdeen, NC 28315-2347 | 2006-11-29 |
| 1942317136 | Kleins of Aberdeen Inc | Pharmacy | 949 Beards Hill Rd, Aberdeen, MD 21001-1734 | 2006-08-24 |
| 1497860266 | Saker Shoprites Inc | Pharmacy | 318 Lloyd Rd, Aberdeen, NJ 07747-1882 | 2006-08-20 |
| 1174540447 | Wal-mart Stores East Lp | Pharmacy | 645 S Philadelphia Blvd, Aberdeen, MD 21001-3613 | 2006-07-16 |
| 1689607921 | Haggen Inc | Pharmacy | 1213 E Wishkah St, Aberdeen, WA 98520-4224 | 2006-07-09 |
| 1215967526 | Eckerd Corporation | Pharmacy | 1077 Highway 34, Aberdeen, NJ 07747-2162 | 2006-07-03 |
| 1932227089 | Pioneer Family Pharmacy | Pharmacy | 502 Jackson St, Suite 1, Aberdeen, MS 39730-3300 | 2007-03-27 |
| 1174612121 | Aberdeen Medical Center Pharmacy, Inc | Pharmacy | 2201 6th Ave Se, Suite 23, Aberdeen, SD 57401-5130 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038485 | Quinn's Family Pharmacy of Newton | Pharmacy | 193 Northside Dr, Newton, MS 39345-9523 | 2020-09-22 |
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1649883844 | Natchez Wellness Pharmacy | Pharmacy | 29 Sergeant Prentiss Dr Ste 5, Natchez, MS 39120-4743 | 2020-08-26 |
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1114566122 | Valley Drugs, Inc. | Pharmacy | 327b S Main St, Water Valley, MS 38965-3318 | 2019-12-23 |
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
| 1518501592 | Southwest Pharmacy Inc | Pharmacy | 3000 Plaza Dr Ste B, Tylertown, MS 39667-9227 | 2019-11-01 |
| 1669015210 | Hometown Family Pharmacy, Inc. | Pharmacy | 930 Hall St Ste H, Wiggins, MS 39577-2113 | 2019-10-25 |
| 1225671001 | A & A Infusion & Specialty, LLC | Pharmacy | 124 E Jackson St, Belzoni, MS 39038-3642 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
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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.