FREDS STORES OF TENNESSEE INC (NPI# 1841222874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841222874 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY |
| Practice Address |
1302 Highway 64 E Augusta AR 72006-9411 |
| Practice Telephone | 8703475004 |
| Practice Fax Number | 8703475014 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-17 |
| Authorized Official Name | ALEX KNIGHT (DIR OF THIRD PARTY OPERATIONS) |
| Authorized Official Telephone | 9012383625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20520 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0422155 | 01 | |
| OTHER ID NUMBER | 0422155 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY | 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 |
1302 HIGHWAY 64 E |
| City | AUGUSTA |
| State | AR |
| Zip Code | 72006-9411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861530362 | Wallace Jean Trice | Case Manager/Care Coordinator | 64 East Hwy, Augusta, AR 72006 | 2007-02-05 |
| 1275635542 | Arcare | Clinic/Center | 117 S 2nd St, Augusta, AR 72006 | 2006-09-05 |
| 1013928381 | Audra M Hamilton | Dental Hygienist | 623 N 9th Street, Augusta, AR 72006 | 2006-08-11 |
| 1013932714 | Steven F Collier Md Pa | Family Medicine | 106 South 2nd Street, Augusta, AR 72006 | 2006-07-13 |
| 1558396119 | Steve D Chason | Dentist | 216 S Second St, Augusta, AR 72006 | 2006-07-12 |
| 1790718906 | Jesse D Moore Md | Family Medicine | Highway 64 East, Augusta, AR 72006 | 2006-07-09 |
| 1053553024 | Jaime L Whitehead | Nurse Practitioner | 800 Main St, Augusta, AR 72006 | 2009-04-06 |
| 1023170305 | Katina Briscoe | Nurse Practitioner | 400 Highway 64 E, Augusta, AR 72006 | 2006-12-14 |
| 1578640785 | Doris R Wright | Pharmacy Technician | 111 Main Street, Cotton Plant, AR 72006 | 2006-11-01 |
| 1538268081 | Jaymie Frances Hopkins | Counselor | 623 N 9th Street, Augusta, AR 72006 | 2006-09-21 |
| Find all providers in zip 72006 | ||||
| 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 |
|---|---|---|---|---|
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1699308114 | Au Medical Center, Inc. | Pharmacy | 1014 Moore Avenue, Augusta, GA 30912-0001 | 2020-02-13 |
| 1891161246 | Gabiga-jordan LLC | Pharmacy | 4046 Jimmie Dyess Pkwy Ste 100, Augusta, GA 30909-9468 | 2015-08-19 |
| 1962803775 | Bryant and Newsome LLC | Pharmacy | 215 Furys Ferry Rd, Augusta, GA 30907-4718 | 2014-09-11 |
| 1073895496 | Costco Wholesale Corporation | Pharmacy | 825 Cabela Dr, Augusta, GA 30909-8202 | 2011-09-12 |
| 1467732701 | Medex Associates LLC | Pharmacy | 811 13th St Ste 10, Augusta, GA 30901-2771 | 2011-08-18 |
| 1598068967 | Clinical Specialties, LLC | Pharmacy | 318 Baston Rd, Suite 103, Augusta, GA 30907-2978 | 2010-12-07 |
| 1972789311 | Cvs State Capital LLC | Pharmacy | 119 Crossing Way, Augusta, ME 04330-6102 | 2008-01-16 |
| 1184727547 | Georgia Cvs Pharmacy LLC | Pharmacy | 2902 Peach Orchard Rd, Augusta, GA 30906-3504 | 2006-09-07 |
| 1255434072 | Georgia Cvs Pharmacy LLC | Pharmacy | 2559 Windsor Spring Rd, Augusta, GA 30906-4642 | 2006-09-07 |
| Find all providers in AUGUSTA | ||||
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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.