FREDS STORES OF TENNESSEE INC


Address: 450 Us Highway 72 W, Collierville, TN 38017-2804
Phone: 9018532862

FREDS STORES OF TENNESSEE INC (NPI# 1730111675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730111675
Entity Type Organization
Organization Name FREDS STORES OF TENNESSEE INC
Other Organization Name FREDS PHARMACY 1361
Practice Address 450 Us Highway 72 W
Collierville
TN 38017-2804
Mailing Address 4300 New Getwell Rd
Memphis
TN 38118-6801
Practice Telephone 9018532862
Practice Fax Number 9018549582
Mailing Telephone 9012382520
Mailing Fax Number 9013659820
Enumeration Date 2006-07-07
Last Update Date 2016-08-16
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy C280 TN Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
C280 TN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 4417362 01
MS 00030020 05

Other Provider/Organization Names

Other Name Type Code
FREDS PHARMACY 1361 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 450 US HIGHWAY 72 W
City COLLIERVILLE
State TN
Zip Code 38017-2804

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144827338 George Nathan Freeman IIi Chiropractor 2028 W. Poplar, Suite 105, Collierville, TN 38017 2020-10-01
1104440171 Cecelia Hunt Social Worker 2555 Halle Parkwsy, Collierville, TN 38017 2020-06-04
1053803403 Sarah Harris Physical Therapist 605 Heather Lake Cv, Collierville, TN 38017 2018-06-01
1023507811 Sandra P Morris Pharmacist 560 West Poplar, Collierville, TN 38017 2018-05-07
1043751159 Rahim Panjwani Physical Therapist 2028 W. Poplar Ave, Collierville, TN 38017 2017-03-09
1104273234 The Branch House Counselor 562 Center St, Collierville, TN 38017 2016-05-18
1760840052 Amodeo Chiropractic Center Inc Chiropractor 161 Hwy 72 East, Collierville, TN 38017 2016-02-02
1235520628 Bonnie Morales Nurse Practitioner 472 W. Poplar Ave, Collierville, TN 38017 2015-02-06
1841616513 First Choice Transportation Non-emergency Medical Transport (VAN) 336 E. Valleywood Drive, Collierville, TN 38017 2014-03-05
1821424276 Shana Cole Cannon Licensed Practical Nurse 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 2013-09-17
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710909460 Tennessee Cvs Pharmacy LLC Pharmacy 325 New Byhalia Rd, Collierville, TN 38017-3705 2006-07-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033718317 Rockvegas Enterprises Inc Dba Gateway Pharmacy Pharmacy 524 N Gateway Ave, Rockwood, TN 37854-2353 2020-10-19
1124626767 Knoxville Rx Corp Pharmacy 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 2020-10-15
1073126181 Off Center, LLC Pharmacy 910 Overton Plz, Livingston, TN 38570-1753 2020-08-28
1316557937 Guardian Pharmacy of Tennessee Three, LLC Pharmacy 661 E Lane St Ste B, Shelbyville, TN 37160-3437 2020-08-07
1447860507 Fph LLC Pharmacy 2200 N Central Ave, Humbolt, TN 38343 2020-08-04
1366069965 Plaza Pharmacy LLC Pharmacy 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 2020-06-30
1548886104 Tumlin Rx, LLC Pharmacy 104 E Main Blvd, Church Hill, TN 37642-3724 2020-06-19
1366065278 Life Well Pharmacy, LLC Pharmacy 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 2020-05-27
1699398602 Walgreen Co Pharmacy 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 2020-05-26
1053931881 Jones & Joslin, Pllc Pharmacy 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 2020-04-22
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Competitor

Search similar providers

City COLLIERVILLE
Zip Code 38017

Improve Information

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Dataset Information

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.

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