FREDS STORES OF TENNESSEE INC (NPI# 1528090552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528090552 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 1241 |
| Practice Address |
1797 Hwy 100 East Centerville TN 37033 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 9317291177 |
| Practice Fax Number | 9317291106 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | 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 |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | C3336 | TN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
C3336 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4432201 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 1241 | 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 |
1797 HWY 100 EAST |
| City | CENTERVILLE |
| State | TN |
| Zip Code | 37033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225550031 | Saint Thomas Health | Pharmacy | 150 East Swan Street, Centerville, TN 37033 | 2017-07-13 |
| 1558726109 | Rebecca Schmid | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2015-12-28 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1053543256 | Sandra Elliott Tinnin | Midwife | 1180 Sulpher Creek Rd., Centerville, TN 37033 | 2009-08-20 |
| 1225267578 | Charlotte Maricia Staggs | Counselor | 820 Highway 100, #3, Centerville, TN 37033 | 2009-07-08 |
| 1083742084 | Centerstone | Community/Behavioral Health | 704 Highway 100, Suite101, Centerville, TN 37033 | 2007-03-01 |
| 1972684074 | Christy Hulan Mays | Pharmacist | 401 West Public Square, Centerville, TN 37033 | 2006-10-17 |
| 1992718688 | Saint Thomas Hickman Hospital | Clinic/Center | 150 E Swan Street, Centerville, TN 37033 | 2006-08-14 |
| 1326074402 | Centerville Medical Investors, LLC | Skilled Nursing Facility | 112 Old Dickson Road, Centerville, TN 37033 | 2006-06-23 |
| 1649251299 | County of Hickman Office of County Executive | Ambulance | 106 E. Swan St, Centerville, TN 37033 | 2005-11-10 |
| Find all providers in zip 37033 | ||||
| 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 |
|---|---|---|---|---|
| 1861503989 | Liberty Pharmacy, Inc | Pharmacy | 1518 Highway 100 Ste 100, Centerville, TN 37033-1182 | 2006-08-31 |
| 1033228150 | Dicks Supermarkets Inc | Pharmacy | 84 W. Parrish Lane, Centerville, UT 84014-1822 | 2006-08-30 |
| 1053328070 | Walgreen Co | Pharmacy | 1402 Miamisburg Centerville Rd, Centerville, OH 45459-3802 | 2006-08-02 |
| 1508889247 | Sier Inc | Pharmacy | 205 N Main Street, Centerville, OH 45459 | 2006-07-25 |
| 1437141371 | Rez Inc | Pharmacy | 213 N 13th St, Centerville, IA 52544-1707 | 2005-08-17 |
| 1477081743 | Lewis Family Drug, LLC | Pharmacy | 513 Broadway St, Centerville, SD 57014 | 2017-05-31 |
| 1679988398 | Costco Wholesale Corporation | Pharmacy | 5300 Cornerstone North Blvd, Centerville, OH 45440 | 2014-06-23 |
| 1619260049 | Pemco Pharmacy | Pharmacy | 1550 Yankee Park Pl, Centerville, OH 45458-1868 | 2011-05-18 |
| 1134205479 | Liberty Pharmacy Inc | Pharmacy | 146 E Swan St, Centerville, TN 37033-1446 | 2006-10-30 |
| 1104915792 | University of Utah | Pharmacy | 26 S Main St, Ste 100, Centerville, UT 84014-1817 | 2006-10-12 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 37033 |
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.