FREDS STORES OF TENNESSEE INC. (NPI# 1588061394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588061394 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC. |
| Other Organization Name | FREDS PHARMACY 3972 |
| Practice Address |
214 S Main St Fairmont NC 28340-1904 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 9106286362 |
| Practice Fax Number | 9106289334 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | RICK CHAMBERS (VICE PRESIDENT) |
| Authorized Official Telephone | 9012382477 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDS INC. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Freds Pharmacy 3972 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770906737 | Freds Stores of Tennessee Inc. | Pharmacy | 808 Nc Highway 69, Hayesville, NC 28904-9696 | 2014-01-28 |
| 1275963753 | Freds Stores of Tennessee Inc. | Pharmacy | 418 A West Central Avenue, Jamestown, TN 38556 | 2013-11-19 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1043659394 | Freds Stores of Tennessee Inc. | Pharmacy | 2110 Goodman Rd E, Southaven, MS 38672-9006 | 2013-06-20 |
| 1285970988 | Freds Stores of Tennessee Inc. | Pharmacy | 5751 Shed Rd, Bossier City, LA 71111 | 2012-12-27 |
| 1447524145 | Freds Stores of Tennessee Inc. | Pharmacy | 400 W. Mckinley Ave., Haughton, LA 71037-9449 | 2012-02-28 |
| 1255609871 | Freds Stores of Tennessee Inc. | Pharmacy | 21361 Whyte Hardee Blvd., Hardeeville, SC 29927 | 2011-12-09 |
| 1790053502 | Freds Stores of Tennessee Inc. | Pharmacy | 652 Hwy 365, Mayflower, AR 72106 | 2011-12-07 |
| 1013299080 | Freds Stores of Tennessee Inc. | Pharmacy | 306 Lamar St, Kilmichael, MS 39747-9732 | 2011-09-15 |
| 1104235316 | Freds Stores of Tennessee Inc. | Pharmacy | 211 South Main Street, Morgantown, KY 42261 | 2014-08-13 |
| Street Address |
214 S MAIN ST |
| City | FAIRMONT |
| State | NC |
| Zip Code | 28340-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477189553 | 41 South Supply Inc | Pharmacy | 214 S Main St, Fairmont, NC 28340-1904 | 2020-03-20 |
| 1033592811 | Ben Brady | Pharmacist | 214 S Main St, Fairmont, NC 28340-1904 | 2015-06-30 |
| 1063895886 | Karen Rouse | Pharmacist | 214 S Main St, Fairmont, NC 28340-1904 | 2015-06-30 |
| 1750412508 | Bradys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 214 S Main St, Fairmont, NC 28340-1904 | 2007-03-07 |
| 1093757692 | Websters Pharmacy | Pharmacy | 214 S Main St, Fairmont, NC 28340-1904 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023250347 | Independent Community-based Services LLC | Home Health | 107 N Morro St., Fairmont, NC 28340 | 2009-04-01 |
| 1801960083 | Greenbrier Ltc Inc | Assisted Living Facility | 703 South Walnut St, Fairmont, NC 28340 | 2006-11-20 |
| 1275969487 | Robeson Health Care Corporation | Pharmacy | 1212 S Walnut St, Fairmont, NC 28340 | 2013-09-19 |
| 1033221130 | Jeffrey Lemont Hunter | Counselor | 314 S Main St, Fairmont, NC 28340 | 2006-08-31 |
| 1912924648 | Danny Cox | Durable Medical Equipment & Medical Supplies | 234 S Main St, Homecare Medical Products, Fairmont, NC 28340 | 2006-07-17 |
| 1417914722 | Robeson Health Care Corporation | Counselor | 1212 S Walnut St, Fairmont, NC 28340 | 2006-04-28 |
| 1952768426 | Latanya Breeden | Adult Companion | 609 Martin Luther King Dr, Fairmont, NC 28340-1311 | 2016-01-28 |
| 1033252440 | Stephens Outreach Center, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 608a Martin Luther King Dr, Fairmont, NC 28340-1312 | 2007-02-15 |
| 1629027842 | James Clifton Herring Jr. | Optometrist | 1516 Alexander St, Fairmont, NC 28340-1406 | 2006-05-06 |
| 1225142391 | Sean Brian Woken | Chiropractor | 208 Iona St, Fairmont, NC 28340-1616 | 2006-08-18 |
| Find all providers in zip 28340 | ||||
| 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 |
|---|---|---|---|---|
| 1841838372 | Fairmont Drug Company LLC | Pharmacy | 405 N Walnut St, Fairmont, NC 28340-2037 | 2019-12-16 |
| 1285906628 | Hy Vee Inc | Pharmacy | 907 S State St, Fairmont, MN 56031-4441 | 2012-02-01 |
| 1689849804 | John Manchin IIi | Pharmacy | 181 Middletown Cir, Fairmont, WV 26554-2015 | 2008-04-29 |
| 1699883116 | Bryan Gregor, Inc. | Pharmacy | 1108 E Blue Earth Ave, Fairmont, MN 56031-4227 | 2006-08-25 |
| 1831104066 | Walgreen Co | Pharmacy | 1123 E Blue Earth Ave, Fairmont, MN 56031-4226 | 2006-07-29 |
| 1467459545 | Rider Pharmacy Inc | Pharmacy | 303 Merchant St, Fairmont, WV 26554-5213 | 2005-07-05 |
| 1477189553 | 41 South Supply Inc | Pharmacy | 214 S Main St, Fairmont, NC 28340-1904 | 2020-03-20 |
| 1386131050 | Med-mart Pharmacy LLC | Pharmacy | 181 Middletown Cir, Fairmont, WV 26554-2015 | 2018-04-18 |
| 1275969487 | Robeson Health Care Corporation | Pharmacy | 1212 S Walnut St, Fairmont, NC 28340 | 2013-09-19 |
| 1235565755 | Walgreen Co | Pharmacy | 414 N Walnut St, Fairmont, NC 28340-2038 | 2013-09-16 |
| Find all providers in FAIRMONT | ||||
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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.