FREDS STORES OF TENNESSEE INC (NPI# 1700205960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700205960 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 3716 |
| Practice Address |
115 Alabama St Columbus MS 39702-5220 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 9012382520 |
| Practice Fax Number | 9013659820 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-09-22 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 8474346 | 05 |
| Other Name | Type Code |
|---|---|
| Freds Pharmacy 3716 | 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 |
115 ALABAMA ST |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39702-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508907759 | S & B Discount Drugs of Columbus, Inc | Pharmacy | 115 Alabama St, Columbus, MS 39702-5220 | 2007-02-09 |
| 1659913010 | Chris' Pharmacy and Sons Too | Pharmacy | 115 Alabama St, Columbus, MS 39702-5220 | 2019-10-16 |
| 1164949939 | Elizabeth Brooks Matthews Robertson | Pharmacist | 115 Alabama St, Columbus, MS 39702-5220 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364519 | Damian Mercier | Student in an Organized Health Care Education/Training Program | Baptist Memorial Hospital- Gt 2520 5th Str N., Columbus, MS 39702 | 2020-04-09 |
| 1215276175 | Dutch Medical Clinics, Inc | Clinic/Center | 3654-b New Hope Rd, Columbus, MS 39702 | 2013-02-12 |
| 1740552439 | Bobbie Sue Pearson | Nurse Practitioner | 3654-b New Hope Road, Columbus, MS 39702 | 2012-01-27 |
| 1023193927 | James D Wiygul | Dentist | 220 Alabama Street, Columbus, MS 39702 | 2006-10-26 |
| 1821185398 | Children's Health Center of Columbus, Inc. | Pediatrics | 114 N Lehmberg Road, Columbus, MS 39702 | 2006-10-06 |
| 1265449367 | Windsor Place Nursing Center Inc | Skilled Nursing Facility | 81 Windsor Blvd, Columbus, MS 39702 | 2006-08-02 |
| 1568421675 | Carey Mccarter | Nurse Practitioner | Aurora Health and Rehabilitation, 310 Emerald Dr, Columbus, MS 39702 | 2006-03-20 |
| 1811976368 | Aurora Australis, LLC | Skilled Nursing Facility | 310 Emerald Dr, Columbus, MS 39702 | 2006-01-12 |
| 1992298905 | Adam Holmes | Non-emergency Medical Transport (VAN) | 2798 Lake Lowndes Rd, Columbus, MS 39702 | 2018-06-13 |
| 1639692833 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201b Alabama St, Columbus, MS 39702 | 2017-07-19 |
| Find all providers in zip 39702 | ||||
| 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 |
|---|---|---|---|---|
| 1245870864 | Bravo Rx Pharmacy | Pharmacy | 4125 W Broad St # B, Columbus, OH 43228-1600 | 2020-01-11 |
| 1235777350 | Tan Thai Inc | Pharmacy | 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 | 2019-12-19 |
| 1811534829 | Milestone Pharmacy LLC | Pharmacy | 3350 Cleveland Ave # 1946, Columbus, OH 43224-3677 | 2019-12-09 |
| 1467000638 | Hrb Health Solutions | Pharmacy | 5320 E Main St Ste 700, Columbus, OH 43213-2573 | 2019-08-29 |
| 1124683826 | Ohio State University Outpatient Pharmacy | Pharmacy | 181 Taylor Avenue, Room T0354, Columbus, OH 43203-1779 | 2019-05-08 |
| 1790340404 | Ohio State University Outpatient Pharmacy | Pharmacy | 410 W 10th Ave Rm 111, Columbus, OH 43210-1240 | 2019-05-08 |
| 1912488586 | Premierx Pharmacy Inc. | Pharmacy | 4633 Morse Centre Rd, Columbus, OH 43229-6601 | 2018-08-22 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1285125161 | Westerville Road Pharmacy, LLC | Pharmacy | 2709 Westerville Rd, Columbus, OH 43224-4440 | 2018-05-25 |
| 1285158667 | Shiffa Pharmacy | Pharmacy | 2330 Morse Rd Unit D, Columbus, OH 43229-5804 | 2017-07-27 |
| Find all providers in COLUMBUS | ||||
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.