FREDS STORES OF TENNESSEE INC (NPI# 1124370796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124370796 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 2544 |
| Practice Address |
118 Robert B Lee Drive Leesburg GA 31763 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 9012382520 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2013-01-07 |
| 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 |
|---|---|---|---|
| GA | 003128592A | 05 |
| Other Name | Type Code |
|---|---|
| Freds Pharmacy 2544 | 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 |
118 ROBERT B LEE DRIVE |
| City | LEESBURG |
| State | GA |
| Zip Code | 31763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150423 | Jamie Perrella Flynn-pressley | Counselor | 112 Cris Ann St., Leesburg, GA 31763 | 2015-12-07 |
| 1023429511 | Brookstone Medical LLC | Durable Medical Equipment & Medical Supplies | 123 Hugh Rd, Leesburg, GA 31763 | 2014-05-19 |
| 1255649273 | Lee County Optical LLC | Optometrist | 1569 Highway 19 South, Leesburg, GA 31763 | 2010-09-24 |
| 1851572473 | Shaun Nicholas Price | Chiropractor | 152 Robert B Lee Dr, # 31, Leesburg, GA 31763 | 2007-11-26 |
| 1710042007 | Williams & Bush Partnership | Dentist | 919 Us Hwy 19 South, Leesburg, GA 31763 | 2006-12-27 |
| 1063570398 | Lee County Board of Education | Local Education Agency (LEA) | 126 Starksville Avenue, North, Leesburg, GA 31763 | 2006-12-06 |
| 1225109929 | Lee County School System | Local Education Agency (LEA) | 126 Starksville Avenue North, Leesburg, GA 31763 | 2006-11-13 |
| 1073682936 | Adams' Loving Pro Home Health Care Inc. | Home Health | 1277 Hwy 82 West, 121, Leesburg, GA 31763 | 2006-11-07 |
| 1225132699 | Deirdre Mae Clairewen Lawson | Internal Medicine | 235 Walnut Street, Leesburg, GA 31763 | 2006-09-07 |
| 1093706913 | Lee County Board of Health | Public Health or Welfare | 112 Park St, Leesburg, GA 31763 | 2005-10-31 |
| Find all providers in zip 31763 | ||||
| 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] |
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| 1417032947 | Harris Teeter, LLC | Pharmacy | 19350 Winmeade Dr, Leesburg, VA 20176 | 2006-10-25 |
| 1487758462 | Holiday Cvs LLC | Pharmacy | 1235 N 14th St, Leesburg, FL 34748-3822 | 2006-09-12 |
| 1609986249 | Costco Wholesale Corporation | Pharmacy | 1300 Edwards Ferry Rd Ne, Leesburg, VA 20176 | 2006-08-30 |
| 1780602862 | Leesburg Pharmacy Inc | Pharmacy | 36 Catoctin Cir Se, Suite C, Leesburg, VA 20175-3630 | 2006-07-17 |
| 1013555143 | Gdt LLC | Pharmacy | 19500 Sandridge Way Ste 140, Leesburg, VA 20176-3689 | 2019-12-19 |
| 1962719211 | Damol Inc | Pharmacy | 620 S Lake St, Suite4, Leesburg, FL 34748-6059 | 2010-09-08 |
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|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1184225526 | Svdp Georgia Community Pharmacy LLC | Pharmacy | 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 | 2020-11-03 |
| 1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
| 1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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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.