FREDS STORES OF TENNESSEE INC (NPI# 1154691004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154691004 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FRED'S PHARMACY 2539 |
| Practice Address |
2932 Hwy 49 S. Florence MS 39073 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-09-11 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 10302 | MS | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07374805 | 05 |
| Other Name | Type Code |
|---|---|
| Fred's Pharmacy 2539 | 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 |
2932 HWY 49 S. |
| City | FLORENCE |
| State | MS |
| Zip Code | 39073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497295117 | Eletha Walker | Massage Therapist | 215 Walker Smith Rd, Florence, MS 39073 | 2017-02-28 |
| 1538330444 | Florence Dental Clinic | Dentist | 129 Earl Clark Drive, Florence, MS 39073 | 2008-03-19 |
| 1548323579 | Thomas Raymond Byrd | Dentist | 129 Earl Clark Dr., Florence, MS 39073 | 2006-12-19 |
| 1841384443 | Kelley N Martin | Nurse Practitioner | 218 East Main Street, Florence, MS 39073 | 2006-10-03 |
| 1851484422 | Derek Wade Puckett | Physical Therapist | 3000 Hwy 49 South, Florence, MS 39073 | 2006-10-02 |
| 1508961947 | Polks Discount Drugs #2 | Pharmacy | 101 49 Place, Florence, MS 39073 | 2006-09-13 |
| 1669652558 | Martin Health Care, LLC | Family Medicine | 218 East Main St, Florence, MS 39073-0530 | 2007-11-07 |
| 1245415645 | Emmanuel Ridge Community Service Organization | Clinic/Center | 2073 Hwy 49 South, Florence, MS 39073-1944 | 2008-01-03 |
| 1235314634 | Emmanuel Ridge Home Care Agency Inc | Non-emergency Medical Transport (VAN) | 2073 Hwy 49 South, Florence, MS 39073-1944 | 2008-01-03 |
| 1316073307 | Norma M Raymond | Pharmacist | 106 Raymond Gdn, Florence, MS 39073-4402 | 2007-02-26 |
| Find all providers in zip 39073 | ||||
| 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 |
|---|---|---|---|---|
| 1568934677 | Well Center Pharmacy LLC | Pharmacy | 605 S Irby St, Florence, SC 29501-5211 | 2018-12-31 |
| 1609324045 | Megs Pharmacy Inc | Pharmacy | 1010 Olive Ave., Florence, WI 54121 | 2016-09-14 |
| 1336504695 | Walgreen Co . | Pharmacy | 805 Pamplico Hwy Ste B130, Florence, SC 29505-6049 | 2015-12-30 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1003233925 | Hartsville Drug Co. Inc. | Pharmacy | 1304 Celebration Blvd, Florence, SC 29501-5495 | 2014-03-28 |
| 1255758561 | Northeast Pharmaceuticals Inc | Pharmacy | 4131 Helton Dr, Florence, AL 35630-6207 | 2014-03-25 |
| 1750623054 | Wal-mart Stores East Lp | Pharmacy | 1410 Florence Blvd, Florence, AL 35630-2700 | 2013-03-25 |
| 1861635922 | Hi-school Pharmacy of Oregon Inc | Pharmacy | 2935 Hwy 101, Florence, OR 97439-9754 | 2009-04-18 |
| 1407983984 | Pharcraft Discount Pharmacy and Craft Supply | Pharmacy | 211 E, Main St, Florence, TX 76527-0626 | 2007-02-28 |
| 1386785996 | Pee Dee Pharmacy Inc | Pharmacy | 123 S Dargan St, Florence, SC 29506-2533 | 2007-02-08 |
| Find all providers in FLORENCE | ||||
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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.