FRED'S PHARMACY (NPI# 1487095667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487095667 |
| Entity Type | Organization |
| Organization Name | FRED'S PHARMACY |
| Practice Address |
535 W Main St Henderson TN 38340-2536 |
| Practice Telephone | 7319899933 |
| Practice Fax Number | 7319899934 |
| Mailing Telephone | 7319899933 |
| Mailing Fax Number | 7319899934 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |
| Authorized Official Name | MRS. LISA MICHELLE KING (PHARMACIST) |
| Authorized Official Telephone | 7319899933 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
000036760 | TN | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184895724 | Fred's Pharmacy | Pharmacy | 2790 Pharmacy Rd Ste A, Rio Grande City, TX 78582-6547 | 2008-03-21 |
| Street Address |
535 W MAIN ST |
| City | HENDERSON |
| State | TN |
| Zip Code | 38340-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477863959 | Cynthia Vincent Moss | Pharmacist | 535 W Main St, Henderson, TN 38340-2536 | 2010-10-18 |
| 1306489554 | Integration Partners LLC | Durable Medical Equipment & Medical Supplies | 535 W Main St, Henderson, TN 38340-2536 | 2019-10-21 |
| 1225511975 | Diana Booth White | Pharmacist | 535 W Main St, Henderson, TN 38340-2536 | 2018-09-10 |
| 1205189487 | Mark Dearth | Pharmacist | 535 W Main St, Henderson, TN 38340-2536 | 2012-10-24 |
| 1528364742 | Janice C Morris | Pharmacist | 535 W Main St, Henderson, TN 38340-2536 | 2011-02-04 |
| 1184656027 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 535 W Main St, Henderson, TN 38340-2536 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1184774358 | State of Tennessee | Public Health or Welfare | 301 Quinco Drive, Henderson, TN 38340 | 2007-01-11 |
| 1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
| 1487636031 | Ronald E Johnson | Dentist | 136 South Washington Ave, Henderson, TN 38340-0096 | 2005-11-18 |
| 1174835664 | Southwest Human Resource Agency | Local Education Agency (LEA) | 1527 White Avenue, Henderson, TN 38340-0264 | 2010-07-13 |
| 1366637969 | Hardeman County Community Health Center | Clinic/Center | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2007-09-07 |
| 1629380639 | Candice Johnson Jones | Family Medicine | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2010-07-07 |
| 1578510269 | Henderson Residential, LLC | Assisted Living Facility | 558 White Ave, Henderson, TN 38340-1504 | 2006-05-28 |
| 1457591117 | Melaro Behavioral Consultants Inc | Clinic/Center | 225 W Sixth St, Henderson, TN 38340-1515 | 2009-02-20 |
| 1386797314 | David Allen Magee | Dentist | 1520 Cherry Creek Cv, Henderson, TN 38340-1578 | 2007-01-21 |
| Find all providers in zip 38340 | ||||
| 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 |
|---|---|---|---|---|
| 1558980599 | Total Infusion Care Inc | Pharmacy | 3041 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-4444 | 2020-04-09 |
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1508333899 | Khoi Ha Pllc | Pharmacy | 3175 Saint Rose Pkwy Ste 120, Henderson, NV 89052-3507 | 2018-10-25 |
| 1457758948 | Atlas Specialty Pharmacy LLC | Pharmacy | 301 N Pecos Rd Ste D, Henderson, NV 89074-1350 | 2014-11-26 |
| 1982834131 | Valley Lake Inc | Pharmacy | 2245 N Green Valley Pkwy, Henderson, NV 89014-5024 | 2009-07-22 |
| 1164661914 | Jib Enterprises LLC | Pharmacy | 1590 W Horizon Ridge Pkwy, Suite#130, Henderson, NV 89012-3507 | 2009-02-18 |
| 1518033273 | Pharmacy Corporation of America | Pharmacy | 1910 Ross Mill Rd, Henderson, NC 27537-8789 | 2006-11-27 |
| 1881781557 | Donald Frank Norris | Pharmacy | 1060 N Main St, Henderson, NE 68371-0711 | 2006-10-06 |
| 1669571972 | Warm Springs Road Cvs, L.L.C. | Pharmacy | 21 W Horizon Ridge Pkwy, Henderson, NV 89012-5307 | 2006-09-22 |
| 1457453714 | Walgreen Co. | Pharmacy | 402 2nd St, Henderson, KY 42420-3221 | 2006-09-05 |
| Find all providers in HENDERSON | ||||
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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.