FREDS STORES OF TENNESSEE INC (NPI# 1730111766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730111766 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 1081 |
| Practice Address |
307 N Mulberry Ave Butler AL 36904-2203 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 2054593091 |
| Practice Fax Number | 2054593091 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | 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 | 333600000X | Pharmacy | 111752 | AL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
111752 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0130245 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 1081 | 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 |
307 N MULBERRY AVE |
| City | BUTLER |
| State | AL |
| Zip Code | 36904-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184993727 | Rush Hospital/butler, Inc. | General Acute Care Hospital | 401 Vanity Fair Lane, Butler, AL 36904 | 2011-12-28 |
| 1043360233 | Joseph M Moody | Dentist | 505 E Pushmataha Street, Butler, AL 36904 | 2007-01-11 |
| 1811268592 | Rush Hospital/butler,inc | Emergency Medicine | 401 Vanity Fair Lane, Butler, AL 36904 | 2012-01-26 |
| 1811268410 | Rush Hospital/butler, Inc. | Medicare Defined Swing Bed Unit | 401 Vanity Fair Lane, Butler, AL 36904 | 2012-01-13 |
| 1487739314 | Louis Keith Guinn | Family Medicine | 315 E Pushmataha St, Butler, AL 36904-0678 | 2006-10-26 |
| 1164859583 | Mustard Seed Companion Care | In Home Supportive Care | 702 Stevens Rd, Butler, AL 36904-2151 | 2013-09-30 |
| 1457587404 | Gentiva Certified Healthcare Corp. | Home Health | 114 N Academy Ave, Butler, AL 36904-2206 | 2009-06-04 |
| 1558445999 | Jimmy Cleveland White | Dentist | 123 W Alabama St, Butler, AL 36904-2211 | 2006-10-24 |
| 1962737916 | W Britt Morris, Dmd PC | Dentist | 123 W Alabama St, Butler, AL 36904-2211 | 2009-10-08 |
| 1336267087 | Lyle W Cole | Chiropractor | 129 N Mulberry Ave, Butler, AL 36904-2223 | 2007-03-27 |
| Find all providers in zip 36904 | ||||
| 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 |
|---|---|---|---|---|
| 1518347780 | Summers Pharmacy | Pharmacy | 913 W Fort Scott Street, Butler, MO 64730-2007 | 2015-06-03 |
| 1083020986 | Genoa Healthcare, LLC | Pharmacy | 1610 N Main Street Ext Ste 104, Butler, PA 16001-1513 | 2014-07-11 |
| 1952523557 | Institute Hill Pharmacy | Pharmacy | 937 E Jefferson St, Butler, PA 16001-2002 | 2007-05-03 |
| 1629171327 | Hook Superx LLC | Pharmacy | 529 W Main St, Butler, IN 46721-1348 | 2006-09-07 |
| 1144333915 | Smith's Pharmacy | Pharmacy | 10 North Poplar St, Butler, GA 31006 | 2006-08-16 |
| 1841207867 | Giant Eagle Inc | Pharmacy | 700 Moraine Pointe Plz, Butler, PA 16001-2415 | 2006-08-02 |
| 1609898337 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 200 Butler Cmns, Butler, PA 16001-2485 | 2006-07-24 |
| 1588641625 | D B O Incorporated | Pharmacy | 125 Pillow St, Butler, PA 16001-5619 | 2005-12-29 |
| 1780059378 | Bates County Memorial Hospital Pharmacy | Pharmacy | 615 W Nursery St, Butler, MO 64730-1840 | 2015-12-08 |
| 1952774929 | Monarch Pharmacy | Pharmacy | 11 S Orange St, Butler, MO 64730-1805 | 2015-11-12 |
| Find all providers in BUTLER | ||||
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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.