FREDS OF DONIPHAN INC (NPI# 1518470970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518470970 |
| Entity Type | Organization |
| Organization Name | FREDS OF DONIPHAN INC |
| Other Organization Name | SUPER SAVER PHARMACY |
| Practice Address |
100 H&s Drive Doniphan MO 63935 |
| Mailing Address |
Po Box 337 Doniphan MO 63935-0337 |
| Practice Telephone | 5739965220 |
| Practice Fax Number | 5739963790 |
| Mailing Telephone | 5739965220 |
| Mailing Fax Number | 5739963790 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | CLAYTON JAMISON (OWNER,AO) |
| Authorized Official Telephone | 5739965220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2018006081 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2173109 | 01 |
| Other Name | Type Code |
|---|---|
| Super Saver Pharmacy | Doing Business As Name - Organization |
| Street Address |
100 H&S DRIVE |
| City | DONIPHAN |
| State | MO |
| Zip Code | 63935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457864266 | Fred's of Doniphan, Inc | Durable Medical Equipment & Medical Supplies | 100 H&s Drive, Doniphan, MO 63935 | 2017-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235647629 | Reorganized School Dist 4 | Local Education Agency (LEA) | Hcr 7, Box 51, Doniphan, MO 63935 | 2018-01-19 |
| 1144737206 | Amy Jo Harris | Licensed Practical Nurse | 209 W Highway St, Doniphan, MO 63935 | 2018-01-10 |
| 1053706390 | Amazing In Home Services, LLC | In Home Supportive Care | 106 Lafayette Street, Doniphan, MO 63935 | 2015-04-03 |
| 1447649595 | Keshia J Russell | Speech-Language Pathologist | 1002 Elm Street, Doniphan, MO 63935 | 2015-01-13 |
| 1720327596 | Jessica L Eddington | Physical Therapist | 1015 Grand Street, Doniphan, MO 63935 | 2013-02-13 |
| 1700150927 | Ripley County Family Resource Center | Community/Behavioral Health | 204 Summit St., Doniphan, MO 63935 | 2012-03-06 |
| 1205107810 | Ripley County Family Resource Center | Community/Behavioral Health | 204 Summit, Doniphan, MO 63935 | 2012-01-13 |
| 1386825248 | Shopko Stores Operating Co LLC | Pharmacy | 111 Leroux Dr, Doniphan, MO 63935 | 2007-11-20 |
| 1104010081 | American Consumer Directed Services, L.L.C. | Clinic/Center | Rr 3, Box 2199, Doniphan, MO 63935 | 2007-09-04 |
| 1548307580 | Dena Seratt | Physical Therapist | 603 Summit Street, Doniphan, MO 63935 | 2007-01-31 |
| Find all providers in zip 63935 | ||||
| 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 |
|---|---|---|---|---|
| 1386825248 | Shopko Stores Operating Co LLC | Pharmacy | 111 Leroux Dr, Doniphan, MO 63935 | 2007-11-20 |
| 1225359664 | Premiere Healthcare LLC | Pharmacy | 513 N Grand Ave, Doniphan, MO 63935-1405 | 2010-06-21 |
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|---|---|---|---|---|
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| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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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.