FREDS STORES OF TENNESSEE INC (NPI# 1447288402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447288402 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 1371 |
| Practice Address |
1683 Center Point Pkwy Birmingham AL 35215-5526 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 2058537235 |
| Practice Fax Number | 2058537576 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | RICKY 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 111179 | AL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
111179 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0127844 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 1371 | 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 |
1683 CENTER POINT PKWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35215-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548751340 | Shanta Marie Johnson | Home Health | 113 22nd Avenue Sw, Centerpoint, AL 35215 | 2018-05-29 |
| 1962921627 | Ernest L Sanders | Counselor | 24 Freda Jane Lane, Birmingham, AL 35215 | 2017-09-13 |
| 1750804092 | Deborah Lanette Alexander | Specialist | 827 Floretine Dr., Birmingham, AL 35215 | 2017-07-19 |
| 1992234355 | Angela Gray | Specialist | 3941 Amanda Court, Birmingham, AL 35215 | 2017-06-08 |
| 1245575950 | American Family Care, Inc. | General Practice | 20 Hazelwood Dr, Pell City, AL 35215 | 2012-12-06 |
| 1669744454 | Matthew Todd Kellum | Physical Therapist | 1687 Center Point Pkwy Ste 101, Center Point, AL 35215 | 2012-02-08 |
| 1417194754 | Maribel Vista Dela Cruz | Physical Therapist | 1920 Springville Road, Suite 104, Birmingham, AL 35215 | 2009-01-08 |
| 1649330200 | Roger L Gill | Dentist | 2232 Center Point Parkway, Birmingham, AL 35215 | 2006-12-12 |
| 1861568891 | Ronald G Philipp | Dentist | 2525 Centerpoint Parkway, Birmingham, AL 35215 | 2006-11-28 |
| 1093896466 | Eastern Nephrology, PC | Internal Medicine | 1524 Huffman Road, Birmingham, AL 35215 | 2006-10-18 |
| Find all providers in zip 35215 | ||||
| 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 |
|---|---|---|---|---|
| 1275184517 | Avita Drugs Alabama, LLC | Pharmacy | 3220 5th Ave S, Birmingham, AL 35222-2309 | 2019-09-27 |
| 1073170775 | Village Drug Co. LLC | Pharmacy | 300 Carlow Ln, Ste 116, Birmingham, AL 35217 | 2019-05-29 |
| 1609341171 | Ur Pharmacy Inc | Pharmacy | 300 Cahaba Park Cir Ste 218, Birmingham, AL 35242-5043 | 2018-10-10 |
| 1235653221 | Senior Care Pharmacy Inc | Pharmacy | 1424 Montclair Rd Ste 6101, Birmingham, AL 35210-2208 | 2017-08-01 |
| 1659728624 | Helena Family Pharmacy LLC | Pharmacy | 3108 Heights Vlg, Birmingham, AL 35243-5221 | 2016-05-19 |
| 1073931689 | Optum Infusion Services 206, Inc. | Pharmacy | 660 University Blvd, Suite A, Birmingham, AL 35233-1100 | 2014-04-01 |
| 1104251552 | Moores Pharmacy LLC | Pharmacy | 1200 Forestdale Sq, Birmingham, AL 35214-3838 | 2013-09-04 |
| 1134567100 | Mills Pharmacy At Woodlawn LLC | Pharmacy | 6501 1st Ave N, Birmingham, AL 35206-5009 | 2013-06-12 |
| 1023456019 | Walgreen Co | Pharmacy | 3686 Grandview Pkwy Ste 120, Birmingham, AL 35243-3334 | 2013-06-12 |
| 1053696880 | Elite Rx, LLC | Pharmacy | 135 Gemini Cir Ste 201, Birmingham, AL 35209-5842 | 2011-10-12 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35215 |
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.