FREDS STORES OF TENNESSEE INC (NPI# 1457683153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457683153 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 3316 |
| Practice Address |
907 E Main St Westminster SC 29693-1940 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 8646472804 |
| Practice Fax Number | 8646472807 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2011-01-11 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 710813 | 05 |
| Other Name | Type Code |
|---|---|
| Freds Pharmacy 3316 | 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 |
907 E MAIN ST |
| City | WESTMINSTER |
| State | SC |
| Zip Code | 29693-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871801332 | John Michael Rohletter | Pharmacist | 907 E Main St, Westminster, SC 29693-1940 | 2010-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225415573 | Oakway Rescue Squad, Inc. | Ambulance | 5480 West Oak Highway, Westminster, SC 29693 | 2015-05-06 |
| 1114339058 | Lorie Sheriff | Community Health Worker | 130 Warrior Lane, Westminster, SC 29693 | 2014-05-27 |
| 1598737348 | Trent M Smith | Dentist | 101 Westminster Hwy, Westminster, SC 29693-1427 | 2006-02-06 |
| 1801263421 | Brandon Scott Chasteen | Dentist | 101 Westminster Hwy, Westminster, SC 29693-1427 | 2015-08-31 |
| 1407177132 | Bonnie Grant Alexander | Dentist | 101 Westminster Hwy, Westminster, SC 29693-1427 | 2010-06-16 |
| 1174859847 | Trenton M. Smith, Dmd, Pa | Dentist | 101 Westminster Hwy, Westminster, SC 29693-1427 | 2009-10-30 |
| 1679911192 | Sherry Mclaughlin | Registered Nurse | 501 Westminster Hwy, Westminster, SC 29693-1515 | 2013-06-06 |
| 1710389424 | Richard Hudgins | Behavioral Analyst | 501 Westminster Hwy, Westminster, SC 29693-1515 | 2014-09-24 |
| 1841602034 | Lynell Cain Gilbert | Registered Nurse | 501 Westminster Hwy, Westminster, SC 29693-1515 | 2014-05-22 |
| 1023420205 | Eugenia Toole | Licensed Practical Nurse | 501 Westminster Hwy, Westminster, SC 29693-1515 | 2014-05-22 |
| Find all providers in zip 29693 | ||||
| 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 |
|---|---|---|---|---|
| 1689217861 | 888 Pharmacy Inc | Pharmacy | 5092 W 92nd Ave Ste D-8, Westminster, CO 80031-6302 | 2019-10-21 |
| 1013301308 | Dragon Pharmacy Corp | Pharmacy | 5839 Westminster Blvd, #a, Westminster, CA 92683-9107 | 2015-03-24 |
| 1457782526 | Audrey Pharmacy Inc. | Pharmacy | 9822 Bolsa Ave, Suite # G, Westminster, CA 92683-6698 | 2013-11-27 |
| 1669724811 | Lcm Pharmaceuticals Inc | Pharmacy | 15440 Beach Blvd, #120, Westminster, CA 92683-6240 | 2012-10-12 |
| 1407163967 | Mailan Heritage Pharmacy | Pharmacy | 14441 Beach Blvd, Ste 108, Westminster, CA 92683 | 2010-09-05 |
| 1700014230 | Walgreen Co. | Pharmacy | 7001 Westminster Blvd., Westminster, CA 92683-4232 | 2009-06-23 |
| 1295918340 | Manchester Drugs, Inc | Pharmacy | 15 S Cranberry Rd, Unit C, Westminster, MD 21157-5101 | 2007-12-12 |
| 1710034848 | Tue Ngoc Hoang | Pharmacy | 9972 Bolsa Ave Ste 103, Westminster, CA 92683-6069 | 2007-01-04 |
| 1013088244 | Theresa Pharmacy Inc | Pharmacy | 7785 Westminster Blvd, Westminster, CA 92683-4025 | 2006-11-10 |
| 1396836011 | Golden Pharmacy Corporation | Pharmacy | 10301 Bolsa Ave Ste 105, Westminster, CA 92683-6784 | 2006-09-27 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 29693 |
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.