FREDS STORES OF TENNESSEE INC (NPI# 1376884080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376884080 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 2571 |
| Practice Address |
3857 St. Marys Rd Columbus GA 31906-4476 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 7066851845 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2014-12-19 |
| Authorized Official Name | RICK CHAMBERS (VP) |
| Authorized Official Telephone | 9012382477 |
| Authorized Official Credential | PHARMD |
| 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 |
|---|---|---|---|
| GA | 003133126A | 05 |
| Other Name | Type Code |
|---|---|
| Freds Pharmacy 2571 | 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 |
3857 ST. MARYS RD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31906-4476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778939 | Kamisha Latonya Byrd Jr. | Home Health | 901joy Rd Lot B1, Columbus, GA 31906 | 2018-01-19 |
| 1093180234 | Conchetta Perry | Nurse Practitioner | 1711 Buena Vista Road Suite #2, Columbus, GA 31906 | 2015-12-13 |
| 1972910586 | Felicia Murphy | Nurse's Aide | 5619 Teresa, Columbus, GA 31906 | 2014-07-15 |
| 1932526340 | Waytika Glover | Community Health Worker | 1719 Shepard Dr, Columbus, GA 31906 | 2014-03-24 |
| 1376973941 | Laura Kaye Thomas | Counselor | 2100 Cormer Ave, Columbus, GA 31906 | 2013-11-19 |
| 1831528876 | Mosco Davis | In Home Supportive Care | 2202 Francis St.., Columbus, GA 31906 | 2013-11-08 |
| 1104153451 | Project Rebound Inc. | Social Worker | 1170 Brown Ave Street B, Columbus, GA 31906 | 2009-11-06 |
| 1982865499 | Cheryl Denise Freeman-jackson | Dentist | 2206 Francis St, Columbus, GA 31906 | 2008-06-18 |
| 1366652083 | Leroy Livingstone Boatswain | Social Worker | 919 Lawyers Lane, Columbus, GA 31906 | 2007-05-23 |
| 1023127222 | Chikkanayak B Lokesh | Psychiatry & Neurology | 1310 13 Th Avenue, Va Cboc Clinic, Columbus, GA 31906 | 2006-08-30 |
| Find all providers in zip 31906 | ||||
| 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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| 1811534829 | Milestone Pharmacy LLC | Pharmacy | 3350 Cleveland Ave # 1946, Columbus, OH 43224-3677 | 2019-12-09 |
| 1467000638 | Hrb Health Solutions | Pharmacy | 5320 E Main St Ste 700, Columbus, OH 43213-2573 | 2019-08-29 |
| 1124683826 | Ohio State University Outpatient Pharmacy | Pharmacy | 181 Taylor Avenue, Room T0354, Columbus, OH 43203-1779 | 2019-05-08 |
| 1790340404 | Ohio State University Outpatient Pharmacy | Pharmacy | 410 W 10th Ave Rm 111, Columbus, OH 43210-1240 | 2019-05-08 |
| 1912488586 | Premierx Pharmacy Inc. | Pharmacy | 4633 Morse Centre Rd, Columbus, OH 43229-6601 | 2018-08-22 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1285125161 | Westerville Road Pharmacy, LLC | Pharmacy | 2709 Westerville Rd, Columbus, OH 43224-4440 | 2018-05-25 |
| 1285158667 | Shiffa Pharmacy | Pharmacy | 2330 Morse Rd Unit D, Columbus, OH 43229-5804 | 2017-07-27 |
| Find all providers in COLUMBUS | ||||
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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.