FREDS STORES OF TENNESSEE INC (NPI# 1396826939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396826939 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FRED'S PHARMACY 2439 |
| Practice Address |
47950 Us Hwy 78 Lincoln AL 35096 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 2057631047 |
| Practice Fax Number | 2057631068 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | MR. 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
112861 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 0134089 | 01 |
| Other Name | Type Code |
|---|---|
| FRED'S PHARMACY 2439 | 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 |
47950 US HWY 78 |
| City | LINCOLN |
| State | AL |
| Zip Code | 35096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962959874 | Crystal Renee Rogers | Nurse Practitioner | 1800 Honda Drive, Talladega, AL 35096 | 2016-09-08 |
| 1508096199 | Emily Ruth Webster | Behavioral Analyst | 140 Joe St, Lincoln, AL 35096 | 2009-07-17 |
| 1952433872 | Amanad Divine | Pharmacist | 99 Magnolia South, Lincoln, AL 35096 | 2007-03-09 |
| 1699704197 | April L Ponder | Family Medicine | 1100 Patton Chapel Rd, Lincoln, AL 35096 | 2006-06-30 |
| 1023047529 | Mark E Ponder | Family Medicine | 1100 Patton Chapel Rd, Lincoln, AL 35096 | 2006-06-30 |
| 1780752402 | Lincoln Ems | Ambulance | 82 Mclain Ave, Lincoln, AL 35096-0172 | 2006-12-01 |
| 1043227044 | Lincoln Pharmacy Inc | Pharmacy | 99 Magnolia St S, Lincoln, AL 35096-0200 | 2006-08-02 |
| 1477105583 | Tishunna Carter | Technician, Pathology | 409 Howard Cir, Lincoln, AL 35096-3551 | 2019-07-10 |
| 1861980823 | Melodie Dawn Crawford | Counselor | 325 Eastland Dr, Lincoln, AL 35096-4061 | 2018-04-25 |
| 1063523421 | Lincoln Family Practice | Specialist | 1100 Patton Chapel Rd, Lincoln, AL 35096-4723 | 2006-08-31 |
| Find all providers in zip 35096 | ||||
| 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 |
|---|---|---|---|---|
| 1952960783 | Lincoln Pharmacy LLC | Pharmacy | 3300 A Street, Ste 100, Lincoln, NE 68510-4512 | 2019-06-06 |
| 1609348895 | Sharshon Pharmacy, Inc. | Pharmacy | 616b Woodlawn Rd, Lincoln, IL 62656-1590 | 2018-12-28 |
| 1083128250 | Innovative Pain & Spine Specialists | Pharmacy | 7121 Stephanie Ln Ste 104, Lincoln, NE 68516-5359 | 2017-11-27 |
| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1558897751 | Harps Food Stores, Inc | Pharmacy | 310 W Pridemore Drive, Lincoln, AR 72744 | 2017-05-08 |
| 1891085486 | Alcona Citizens for Health, Inc. | Pharmacy | 177 N Barlow, Lincoln, MI 48742 | 2011-04-15 |
| 1548576192 | Nebraska Cvs Pharmacy LLC | Pharmacy | 4808 O St, Lincoln, NE 68510-1908 | 2010-08-20 |
| 1831230036 | Nebraska Medical Center | Pharmacy | 550 N. 19th Street, Lincoln, NE 68588 | 2007-02-09 |
| 1194898197 | Four Star Drug of Bethany Inc | Pharmacy | 1340 N 66th St, Lincoln, NE 68505-1822 | 2006-11-16 |
| 1528131521 | Four Star Drug of Lincoln Nebraska Inc | Pharmacy | 1265 S Cotner Blvd, Lincoln, NE 68510-4923 | 2006-11-16 |
| Find all providers in LINCOLN | ||||
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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.