FREDS STORES OF TENNESSEE INC


Address: 93 Bushrod Johnson Ave, Chickamauga, GA 30707-6093
Phone: 9012382520

FREDS STORES OF TENNESSEE INC (NPI# 1396176095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396176095
Entity Type Organization
Organization Name FREDS STORES OF TENNESSEE INC
Other Organization Name FREDS' PHARMACY #1496
Practice Address 93 Bushrod Johnson Ave
Chickamauga
GA 30707-6093
Mailing Address 4300 New Getwell Rd
Memphis
TN 38118-6801
Practice Telephone 9012382520
Mailing Fax Number 9013659820
Enumeration Date 2013-12-05
Last Update Date 2014-12-17
Authorized Official Name RICK CHAMBERS (VICE PRESIDENT)
Authorized Official Telephone 9012382477
Is Organization Subpart Y
Parent Organization Name FREDS INC
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003145666A 05

Other Provider/Organization Names

Other Name Type Code
Freds' Pharmacy #1496 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 93 BUSHROD JOHNSON AVE
City CHICKAMAUGA
State GA
Zip Code 30707-6093

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881677847 Paul E Ballinger Physician Assistant 101 Kington Lane, Chickamauga, GA 30707 2005-11-23
1235358938 Tawanda G Adeshina Family Medicine 101 Kington Lane, Chickamauga, GA 30707 2007-04-24
1053638874 Jerry Labron Ragon Contractor 8 W 8th St, Chickamauga, GA 30707-1308 2010-05-04
1831261387 Phillip David Talley Pharmacist 114 Cove Rd, Chickamauga, GA 30707-1407 2006-11-13
1760606966 Karen Leanne Ledford Pharmacist 114 Cove Rd, Chickamauga, GA 30707-1407 2007-04-12
1821131996 Chickamauga Drug Store, LLC Pharmacy 114 Cove Rd, Chickamauga, GA 30707-1407 2007-02-15
1073548707 Douglas M Graydon Dentist 107 Gordon St, Chickamauga, GA 30707-1454 2006-07-11
1245372101 Caroline Faith Brown Dentist 107 Gordon St, Chickamauga, GA 30707-1454 2007-02-13
1417483850 Teresa Cash Community/Behavioral Health 16 Euclid Ave, Apt S-2, Chickamauga, GA 30707-1565 2017-05-04
1033416623 Chickamauga City Schools Local Education Agency (LEA) 402 Cove Rd, Chickamauga, GA 30707-1614 2011-02-17
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013435338 Cannon Drugs Ltd Pharmacy 357 Lee and Gordon Mill Rd, Chickamauga, GA 30707-1716 2017-09-07
1821131996 Chickamauga Drug Store, LLC Pharmacy 114 Cove Rd, Chickamauga, GA 30707-1407 2007-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City CHICKAMAUGA
Zip Code 30707

Improve Information

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Dataset Information

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.

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