FRED'S STORES OF TENNESSEE INC. (NPI# 1356743124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356743124 |
| Entity Type | Organization |
| Organization Name | FRED'S STORES OF TENNESSEE INC. |
| Other Organization Name | FRED'S PHARMACY 3602 |
| Practice Address |
1301 Horridge St Vinton LA 70668-4531 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 3375893011 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | RICK CHAMBERS (VICE PRESIDENT) |
| Authorized Official Telephone | 9012382477 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRED'S 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 |
|---|---|---|---|
| LA | 2203207 | 05 |
| Other Name | Type Code |
|---|---|
| Fred's Pharmacy 3602 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497117881 | Fred's Stores of Tennessee Inc. | Pharmacy | 1550 S. Zach Hinton Parkway, Mcdonough, GA 30253 | 2016-03-24 |
| 1629443429 | Fred's Stores of Tennessee Inc. | Pharmacy | 620 E Franklin St Ste A, Sylvester, GA 31791-7189 | 2015-12-04 |
| 1043684228 | Fred's Stores of Tennessee Inc. | Pharmacy | 1803 E Gentry Pkwy, Tyler, TX 75702-3564 | 2015-11-25 |
| 1053785238 | Fred's Stores of Tennessee Inc. | Pharmacy | 1123 State Highway 110 N, Whitehouse, TX 75791-3055 | 2015-11-25 |
| 1083088512 | Fred's Stores of Tennessee Inc. | Pharmacy | 1938 Main Street, Cadiz, KY 42211 | 2015-11-20 |
| 1346632460 | Fred's Stores of Tennessee Inc. | Durable Medical Equipment & Medical Supplies | 4401 Bemiss Rd, Valdosta, GA 31605-6049 | 2015-02-26 |
| 1639561756 | Fred's Stores of Tennessee Inc. | Pharmacy | 1442 Tift Ave N, Tifton, GA 31794-3545 | 2015-02-26 |
| 1023410727 | Fred's Stores of Tennessee Inc. | Pharmacy | 94 Upper Riverdale Rd Sw, Riverdale, GA 30274-2622 | 2014-09-24 |
| 1548662315 | Fred's Stores of Tennessee Inc. | Pharmacy | 1718 S Waukesha St, Bonifay, FL 32425-3114 | 2014-09-23 |
| 1750870192 | Fred's Stores of Tennessee Inc. | Pharmacy | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2018-05-01 |
| Street Address |
1301 HORRIDGE ST |
| City | VINTON |
| State | LA |
| Zip Code | 70668-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346334752 | Lanes Pharmacy Inc | Pharmacy | 1301 Horridge St, Vinton, LA 70668-4531 | 2006-10-03 |
| 1306494463 | Breaux's Pharmacy, LLC. | Pharmacy | 1301 Horridge St, Vinton, LA 70668-4531 | 2019-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598801565 | Robert S Hays Jr. | Dentist | 2114 West Street, Vinton, LA 70668 | 2007-01-29 |
| 1891851630 | Wendell Keith Quebedeaux | Chiropractor | 1415 Stevenson St, Vinton, LA 70668 | 2006-12-28 |
| 1730225798 | R S Hays IIi | Dentist | 2114 West Street, Vinton, LA 70668 | 2007-01-29 |
| 1750386140 | Lance Waldmeier | Nurse Practitioner | 1611 Hampton St, Vinton, LA 70668-3707 | 2005-06-14 |
| 1427500115 | Alison Coleman | Nurse Practitioner | 1611 Hampton St, Vinton, LA 70668-3707 | 2016-10-27 |
| 1912024522 | Valarie Philliber Waldmeier | Nurse Practitioner | 1611 Hampton St, Vinton, LA 70668-3707 | 2007-03-26 |
| 1316924400 | Calcasieu Cameron Hospital Service District | Clinic/Center | 1611 Hampton St, Vinton, LA 70668-3707 | 2005-12-29 |
| 1518959626 | Calcasieu Multi-handicapped Center, LLC | Intermediate Care Facility, Mentally Retarded | 1710 Mill St, Vinton, LA 70668-3718 | 2005-08-16 |
| 1205189677 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1710 Mill St, Vinton, LA 70668-3718 | 2012-10-22 |
| 1780676890 | Calcasieu Multi-handicapped Center, LLC | Intermediate Care Facility, Mentally Retarded | 1101 Nona St, Vinton, LA 70668-4123 | 2005-08-16 |
| Find all providers in zip 70668 | ||||
| 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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| 1164525895 | Virginia Cvs Pharmacy LLC | Pharmacy | 1022 Hardy Rd, Vinton, VA 24179-2241 | 2006-09-07 |
| 1275166399 | Essence Pharmacy LLC | Pharmacy | 201 Vinton Rd, Vinton, TX 79821-8811 | 2020-02-17 |
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| 1518568054 | Chris Pharmacy of Gonzalez LLC | Pharmacy | 14505 Highway 44 Ste 112, Gonzales, LA 70737-7195 | 2020-11-02 |
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| 1093321812 | Community Pharmacy of Sterlington | Pharmacy | 200 Scott Dr, Sterlington, LA 71280 | 2020-09-17 |
| 1386256121 | Lagniappe Pharmacy 7, LLC | Pharmacy | 1900 Saint Charles Ave, New Orleans, LA 70130-5317 | 2020-08-22 |
| 1740890144 | Downtown Drugs Inc | Pharmacy | 338 N Vermont St, Covington, LA 70433-2812 | 2020-07-31 |
| 1053929703 | Viallon Drug Co of Donaldsonville | Pharmacy | 309 Marchand Dr, Donaldsonville, LA 70346-3242 | 2020-07-20 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1417573593 | Doc Your Dose Pharmacy, LLC | Pharmacy | 17275 Hwy 77, Gross Tete, LA 70740 | 2020-06-24 |
| 1942829247 | Good Vibe Ventures LLC | Pharmacy | 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 | 2020-04-16 |
| 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.