FREDS STORES OF TENNESSEE INC (NPI# 1427080365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427080365 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 3111 |
| Practice Address |
1405 S Home St Union City TN 38261-5719 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 7318859242 |
| Practice Fax Number | 7318851443 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | RICKY CHAMBERS (VP) |
| Authorized Official Telephone | 9012382477 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | C3308 | TN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | C3308 | TN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
C3308 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4432023 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 3111 | 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 |
1405 S HOME ST |
| City | UNION CITY |
| State | TN |
| Zip Code | 38261-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548579543 | Bonnie Beale | Pharmacist | 1405 S Home St, Union City, TN 38261-5749 | 2010-09-25 |
| 1942518410 | Robin Finch | Pharmacist | 1405 S Home St, Union City, TN 38261-5749 | 2010-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540200 | Brandi N Rose | Nurse Practitioner | 1109 E Reelfoot Ave Ste A, Union City, TN 38261 | 2015-02-13 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1548413545 | Vip Transpotation | Non-emergency Medical Transport (VAN) | 3888 Ken-tenn Hwy, Union City, TN 38261 | 2008-11-04 |
| 1902052137 | Michelle Davis Hudspeth | Speech-Language Pathologist | 1105 Sunswept Drive, Union City, TN 38261 | 2008-08-07 |
| 1053581744 | Terrell Clinic LLC | Nurse Practitioner | 701 East Reelfoot Ave, Suite 100, Union City, TN 38261 | 2008-03-10 |
| 1275673212 | Kristy Anne Mclaughlin | Counselor | 108 S 1st St, Union City, TN 38261 | 2007-02-07 |
| 1407900970 | Johnny R Miller Dmd Family Dentistry Inc | Dentist | 1209 Russell St, Union City, TN 38261 | 2007-01-22 |
| 1235223017 | Gabriel Paul Sullivan | Dentist | 1007 E Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1003900887 | Gabe Sullivan Dds Plc | Dentist | 1007 East Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1144312521 | Bhekumuzi Mcglen Khumalo | Podiatrist | 1190 E. Reelfoot Ave, Suite D, Union City, TN 38261 | 2006-09-29 |
| Find all providers in zip 38261 | ||||
| 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 |
|---|---|---|---|---|
| 1548797962 | Jae Ahn | Pharmacy | 4505 Bergenline Ave, Union City, NJ 07087-2723 | 2017-05-16 |
| 1770940876 | Kearny Pharmacy Inc | Pharmacy | 1203 Summit Ave, Union City, NJ 07087-6232 | 2016-01-20 |
| 1861790040 | Farmacia Latina Corp. | Pharmacy | 216 48th Street, Union City, NJ 07087 | 2011-03-11 |
| 1467755009 | La Farmacia | Pharmacy | 406 37th St, Union City, NJ 07087-4804 | 2010-12-20 |
| 1730416892 | Kwickmed Farmacia LLC | Pharmacy | 4121c New York Ave, Union City, NJ 07087-4927 | 2009-11-11 |
| 1831292366 | New Jersey Cvs Pharmacy LLC | Pharmacy | 714 Summit Ave, Union City, NJ 07087-3429 | 2006-09-07 |
| 1316040140 | New Jersey Cvs Pharmacy LLC | Pharmacy | 4700 Bergenline Ave, Union City, NJ 07087-1610 | 2006-09-07 |
| 1760596159 | Bontral, Inc. | Pharmacy | 16395 Route 8, Union City, PA 16438-1501 | 2006-08-19 |
| 1912011040 | E.w. James & Sons, Inc | Pharmacy | 705 E Reelfoot Ave, Union City, TN 38261-5883 | 2006-08-18 |
| 1336154327 | Walgreen Co | Pharmacy | 3333 Park Ave, Union City, NJ 07087 | 2006-07-29 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 38261 |
Please comment or provide details below to improve the information on FREDS STORES OF TENNESSEE INC.
| 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.