FREDS STORES OF TENNESSEE INC (NPI# 1346272374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346272374 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 1724 |
| Practice Address |
1207 S Meridian St Greenfield TN 38230-2159 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 7312352214 |
| Practice Fax Number | 7312352564 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-12-04 |
| 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 | C413 | TN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
C413 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4432972 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 1724 | 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 |
1207 S MERIDIAN ST |
| City | GREENFIELD |
| State | TN |
| Zip Code | 38230-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184932642 | Heidi Marie Batchelor | Pharmacist | 1207 S Meridian St, Greenfield, TN 38230-2159 | 2010-09-17 |
| 1861939670 | Emilee Ray | Pharmacist | 1207 S Meridian St, Greenfield, TN 38230-2159 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558634121 | Greenfield Family Medical Clinic, PC | Family Medicine | 230 N Front St, Greenfield, TN 38230-1518 | 2012-02-13 |
| 1760838528 | Med Rx Pharmacy PC | Pharmacy | 108 S Front St, Greenfield, TN 38230-1925 | 2016-05-11 |
| 1538172697 | David Jeffrey Wilbert | Physician Assistant | 801 S Meridian St, Greenfield, TN 38230-2104 | 2006-08-13 |
| 1518226646 | Pa Corporate Enterprises, LLP | Physician Assistant | 801 S Meridian St, Greenfield, TN 38230-2104 | 2012-05-09 |
| 1356537658 | Greenfield Medical Clinic P.C. | Clinical Nurse Specialist | 801 S Meridian St, Greenfield, TN 38230-2104 | 2007-09-20 |
| 1891334926 | Amber Davidson | Student in an Organized Health Care Education/Training Program | 739 Lynn Point Rd, Greenfield, TN 38230-4003 | 2020-01-06 |
| 1245389584 | Lesa Karen Edwards Davidson | Family Medicine | 230 N Front St, Greenfield, TN 38230-4013 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912279 | Andrew Schinnerer | Psychologist | 860 Forest Rd, Greenfield, NH 03047-4301 | 2020-11-04 |
| 1851992259 | Patricia Gragg | Technician | 8282 Beaver Rd, Greenfield, OH 45123-8271 | 2020-11-03 |
| 1588262323 | Tammi T Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
| 1679171755 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 42 Colrain Rd, Greenfield, MA 01301-9625 | 2020-10-12 |
| 1487261806 | Amanda Laura Kellis | Private Vehicle | 404 South St, Greenfield, OH 45123-1432 | 2020-09-29 |
| 1821603481 | Debra Kennedy | Homemaker | 12925 Watt Rd, Greenfield, OH 45123-8566 | 2020-09-10 |
| 1508470352 | Abigail Anne Law | Registered Nurse | 2033 N West Bay Dr Apt F, Greenfield, IN 46140-7666 | 2020-08-31 |
| 1376156422 | Chantelle J Mcmillan | Case Manager/Care Coordinator | 6 Arch St, Greenfield, MA 01301-2448 | 2020-08-28 |
| 1639782915 | Ana Stoica | Nurse Practitioner | 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 | 2020-08-26 |
| 1700497096 | Monica Lynn Glasgow | Licensed Practical Nurse | 21 Kenwood St, Greenfield, MA 01301-1973 | 2020-08-11 |
| Find all providers in GREENFIELD | ||||
| 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 |
|---|---|---|---|---|
| 1093280513 | Hayat Pharmacy 6 LLC | Pharmacy | 5233 S 27th St Ste 101, Greenfield, WI 53221-3764 | 2018-10-11 |
| 1760838528 | Med Rx Pharmacy PC | Pharmacy | 108 S Front St, Greenfield, TN 38230-1925 | 2016-05-11 |
| 1265718977 | Walgreen Co | Pharmacy | 329 Conway St Ste 3, Greenfield, MA 01301 | 2011-10-26 |
| 1568750545 | Roundys Supermarkets Inc | Pharmacy | 4279 S 76th St, Greenfield, WI 53220-2804 | 2011-07-12 |
| 1770682130 | Cvs Pharmacy Inc | Pharmacy | 137 Federal St, Greenfield, MA 01301-2544 | 2006-09-22 |
| 1295838928 | Hook Superx LLC | Pharmacy | 1233 N State St, Greenfield, IN 46140-1056 | 2006-09-07 |
| 1184631061 | Walgreen Co | Pharmacy | 4296 S 76th St, Greenfield, WI 53220-2805 | 2006-08-02 |
| 1750788915 | Advanced Pain Management Sc | Pharmacy | 4131 W Loomis Rd, Suite 250, Greenfield, WI 53221-2057 | 2014-12-03 |
| 1316353626 | Hayat Pharmacy 6 LLC | Pharmacy | 4931 S 27th St Ste 400, Greenfield, WI 53221-2653 | 2014-07-08 |
| 1902189202 | Walgreens Pharmacy | Pharmacy | 1195 N State St, Greenfield, IN 46140-1207 | 2011-09-22 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 38230 |
Please comment or provide details below to improve the information on FREDS STORES OF TENNESSEE INC.
| 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.