FREDS STORES OF TENNESSEE INC (NPI# 1528367182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528367182 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 2086 |
| Practice Address |
1135 Us Highway 231 S. Hartford KY 42347-1872 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 3344934541 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2013-08-02 |
| Authorized Official Name | DR. 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 | P07444 | KY | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100157950 | 05 |
| Other Name | Type Code |
|---|---|
| Freds Pharmacy 2086 | 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 |
1135 US HIGHWAY 231 S. |
| City | HARTFORD |
| State | KY |
| Zip Code | 42347-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780877381 | Ohio County Hospital Corporation | Family Medicine | 20 Mcmurty Avenue, Hartford, KY 42347 | 2007-08-27 |
| 1831224112 | Joseph Stewart Mccarty | Dentist | 904 Main Street, Hartford, KY 42347 | 2007-02-23 |
| 1356482608 | Green River District Health Department | Public Health or Welfare | 1205 Oakwood Drive, Hartford, KY 42347 | 2007-02-09 |
| 1487715892 | Arthur Charles Anderson | Chiropractor | 1041 Hwy 231 N, Hartford, KY 42347 | 2006-12-12 |
| 1962500736 | Kimberly Jo Burden | Dentist | 112 Mcmurtry Ave, Hartford, KY 42347 | 2006-09-20 |
| 1043314693 | X-ray Associates | Radiology | 1211 N Main St, Ohio County Hospital, Hartford, KY 42347 | 2006-09-12 |
| 1164536140 | Ohio County Drugs Inc | Durable Medical Equipment & Medical Supplies | 1135 Spinks Shopping Cntr, Hartford, KY 42347 | 2006-08-18 |
| 1053321398 | Sabrina Lynne West | Social Worker | 121 Apple Alley, Hartford, KY 42347 | 2006-08-09 |
| 1104857432 | Jason Chad Sanders | Nurse Practitioner | 20 Mcmurtry Ave, Hartford, KY 42347 | 2006-07-05 |
| 1851322325 | Rita S. English | Nurse Practitioner | 20 Mcmurtry Avenue, Hartford, KY 42347 | 2006-07-05 |
| Find all providers in zip 42347 | ||||
| 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 |
|---|---|---|---|---|
| 1649814633 | Saint Francis Hospital and Medical Center | Pharmacy | 131 Coventry St Ste 2, Hartford, CT 06112-1548 | 2019-11-01 |
| 1154895837 | Main Street Pharmacy Inc | Pharmacy | 2550 Main St Fl 1, Hartford, CT 06120-1936 | 2019-01-16 |
| 1811418940 | Kure Rx Inc | Pharmacy | 1156 Albany Ave, Hartford, CT 06112-2393 | 2017-06-28 |
| 1275972853 | Community Care Pharmacy Inc | Pharmacy | 408 New Britain Ave, Hartford, CT 06106-3832 | 2013-06-17 |
| 1790889608 | Connecticut Cvs Pharmacy LLC | Pharmacy | 690 Wethersfield Ave, Hartford, CT 06114-1930 | 2006-09-12 |
| 1114942844 | Aurora Pharmacy Inc | Pharmacy | 1566 E Sumner St, Hartford, WI 53027-2607 | 2006-07-13 |
| 1326098294 | Reagan Pharmacy, Inc. | Pharmacy | 111 W Mill St, Hartford, AL 36344-1647 | 2006-05-11 |
| 1770102436 | Saint Francis Hospital and Medical Center | Pharmacy | 100 Woodland St, Hartford, CT 06105-1223 | 2020-04-13 |
| 1932728698 | Saint Francis Hospital and Medical Center | Pharmacy | 131 Coventry St Ste 2, Hartford, CT 06112-1548 | 2020-04-13 |
| 1659915643 | Saint Francis Hospital and Medical Center | Pharmacy | 100 Woodland St, Hartford, CT 06105-1223 | 2019-11-01 |
| Find all providers in HARTFORD | ||||
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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.