FREDS STORES OF TENNESSEE INC. (NPI# 1356771463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356771463 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC. |
| Other Organization Name | FREDS PHARMACY 2688 |
| Practice Address |
702 W 4th St Dequincy LA 70633-3304 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 3377868876 |
| Practice Fax Number | 3377868878 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2017-02-14 |
| 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 |
|---|---|---|---|
| LA | 220529 | 05 |
| Other Name | Type Code |
|---|---|
| Freds Pharmacy 2688 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770906737 | Freds Stores of Tennessee Inc. | Pharmacy | 808 Nc Highway 69, Hayesville, NC 28904-9696 | 2014-01-28 |
| 1275963753 | Freds Stores of Tennessee Inc. | Pharmacy | 418 A West Central Avenue, Jamestown, TN 38556 | 2013-11-19 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1043659394 | Freds Stores of Tennessee Inc. | Pharmacy | 2110 Goodman Rd E, Southaven, MS 38672-9006 | 2013-06-20 |
| 1285970988 | Freds Stores of Tennessee Inc. | Pharmacy | 5751 Shed Rd, Bossier City, LA 71111 | 2012-12-27 |
| 1447524145 | Freds Stores of Tennessee Inc. | Pharmacy | 400 W. Mckinley Ave., Haughton, LA 71037-9449 | 2012-02-28 |
| 1255609871 | Freds Stores of Tennessee Inc. | Pharmacy | 21361 Whyte Hardee Blvd., Hardeeville, SC 29927 | 2011-12-09 |
| 1790053502 | Freds Stores of Tennessee Inc. | Pharmacy | 652 Hwy 365, Mayflower, AR 72106 | 2011-12-07 |
| 1013299080 | Freds Stores of Tennessee Inc. | Pharmacy | 306 Lamar St, Kilmichael, MS 39747-9732 | 2011-09-15 |
| 1588061394 | Freds Stores of Tennessee Inc. | Pharmacy | 214 S Main St, Fairmont, NC 28340-1904 | 2014-11-21 |
| Street Address |
702 W 4TH ST |
| City | DEQUINCY |
| State | LA |
| Zip Code | 70633-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285149690 | Jody Olmsted Arnold | Pharmacist | 702 W 4th St, Dequincy, LA 70633-3304 | 2017-12-07 |
| 1790227478 | Shanelle Buxton | Pharmacist | 702 W 4th St, Dequincy, LA 70633-3304 | 2016-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508036690 | John Craig Crawford | Emergency Medicine | 14925 Hwy 27, Phelps Correctional Center, Dequincy, LA 70633 | 2008-03-05 |
| 1306993191 | Kevin Michael Hamilton | Dentist | 202 S. Holly Street, Dequincy, LA 70633 | 2007-01-04 |
| 1598209207 | Lake Area Dentistry-dequincy, LLC | Clinic/Center | 824 W 4th St, Dequincy, LA 70633 | 2016-12-14 |
| 1639118078 | St Michael Pfu LLC | Skilled Nursing Facility | 602 N Division St, Dequincy, LA 70633-3129 | 2006-06-04 |
| 1548328115 | Jalal Joudeh | Internal Medicine | 601 W 4th St, Dequincy, LA 70633-3301 | 2006-12-05 |
| 1861425324 | Jalal Joudeh | Internal Medicine | 601 W 4th St, Dequincy, LA 70633-3301 | 2006-07-08 |
| 1710901053 | Peter T. Bayles | Dentist | 824 W 4th St, Dequincy, LA 70633-3321 | 2006-07-27 |
| 1881877629 | Debra H. Harville | Specialist | 112 Chavis Sq, Dequincy, LA 70633-3345 | 2007-12-16 |
| 1831560390 | Charles James Johnson | Pharmacist | 300 W. 4th Street, Dequincy, LA 70633-3404 | 2015-10-09 |
| 1942309265 | Brookshire Brothers Inc | Pharmacy | 300 W 4th St, Dequincy, LA 70633-3404 | 2006-09-22 |
| Find all providers in zip 70633 | ||||
| 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 |
|---|---|---|---|---|
| 1437164027 | Nichols Pharmacy Inc | Pharmacy | 915 E Fourth St, Dequincy, LA 70633-3709 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568054 | Chris Pharmacy of Gonzalez LLC | Pharmacy | 14505 Highway 44 Ste 112, Gonzales, LA 70737-7195 | 2020-11-02 |
| 1639779788 | Harvey Lee Smith Jr. | Pharmacy | 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 | 2020-10-28 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 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.