FREDS STORES OF TENNESSEE INC (NPI# 1427086487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427086487 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 2902 |
| Practice Address |
401 E Lee St Sardis MS 38666-1227 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 6624873101 |
| Practice Fax Number | 6624873762 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | RICKY CHAMBERS (VP) |
| Authorized Official Telephone | 9012382477 |
| Authorized Official Credential | PHARMD |
| 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 | P1494PFS | MS | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P1494PFS | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03930216 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2512057 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 2902 | 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 |
401 E LEE ST |
| City | SARDIS |
| State | MS |
| Zip Code | 38666-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235102674 | Cary Nolan Mettetal | Family Medicine | 401 E Lee St, Sardis, MS 38666-1227 | 2006-02-08 |
| 1538631700 | Kelly Denise Grace | Nurse Practitioner | 401 E Lee St, Sardis, MS 38666-1227 | 2018-12-27 |
| 1124574231 | Jessica Tubbs | Nurse Practitioner | 401 E Lee St, Sardis, MS 38666-1227 | 2016-08-29 |
| 1346794260 | Lisa M Hall | Nurse Practitioner | 401 E Lee St, Sardis, MS 38666-1227 | 2016-08-09 |
| 1689054868 | Brooke Lewis | Pharmacist | 401 E Lee St, Sardis, MS 38666-1227 | 2015-06-03 |
| 1083786727 | Cary N Mettetal | Family Medicine | 401 E Lee St, Sardis, MS 38666-1227 | 2006-11-15 |
| 1699863456 | Linda Rushing Monty | Nurse Practitioner | 401 E Lee St, Sardis, MS 38666-1227 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043703820 | First Pharmacy Services of Sardis | Pharmacy | 400 East Lee Street, Sardis, MS 38666 | 2018-06-07 |
| 1528310539 | Lorri Cook | Registered Nurse | 4036 Spring Port Rd., Sardis, MS 38666 | 2012-10-15 |
| 1629329289 | Carmie Salina Blankenship | Nurse Practitioner | 124 S. Main St, Sardis, MS 38666 | 2012-09-24 |
| 1467511196 | Pharmacy Investment Group, Inc | Pharmacy | 330 East Lee St., Sardis, MS 38666 | 2006-12-08 |
| 1194745638 | Linda L Troy | Nurse Practitioner | 111 S. Main Street, Sardis, MS 38666 | 2006-07-20 |
| 1497783864 | Sallye S. Scott | Optometrist | 119 S Main Street, Sardis, MS 38666 | 2006-06-28 |
| 1316152093 | Peterrio Harris | Durable Medical Equipment & Medical Supplies | 322 Hernando St, Sardis, MS 38666-1010 | 2007-05-14 |
| 1366479610 | Healthcare Engineers | Nurse Practitioner | 111 W Lee St, Sardis, MS 38666-1124 | 2006-06-26 |
| 1992271803 | People's Pharmacy, LLC | Pharmacy | 411 E Lee St Ste C, Sardis, MS 38666-1227 | 2018-10-17 |
| 1407348832 | First Pharmacy Services | Pharmacy | 400 E Lee St, Sardis, MS 38666-1236 | 2018-06-01 |
| Find all providers in zip 38666 | ||||
| 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 |
|---|---|---|---|---|
| 1992271803 | People's Pharmacy, LLC | Pharmacy | 411 E Lee St Ste C, Sardis, MS 38666-1227 | 2018-10-17 |
| 1043703820 | First Pharmacy Services of Sardis | Pharmacy | 400 East Lee Street, Sardis, MS 38666 | 2018-06-07 |
| 1407348832 | First Pharmacy Services | Pharmacy | 400 E Lee St, Sardis, MS 38666-1236 | 2018-06-01 |
| 1467511196 | Pharmacy Investment Group, Inc | Pharmacy | 330 East Lee St., Sardis, MS 38666 | 2006-12-08 |
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|---|---|---|---|---|
| 1164038485 | Quinn's Family Pharmacy of Newton | Pharmacy | 193 Northside Dr, Newton, MS 39345-9523 | 2020-09-22 |
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1649883844 | Natchez Wellness Pharmacy | Pharmacy | 29 Sergeant Prentiss Dr Ste 5, Natchez, MS 39120-4743 | 2020-08-26 |
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1114566122 | Valley Drugs, Inc. | Pharmacy | 327b S Main St, Water Valley, MS 38965-3318 | 2019-12-23 |
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
| 1518501592 | Southwest Pharmacy Inc | Pharmacy | 3000 Plaza Dr Ste B, Tylertown, MS 39667-9227 | 2019-11-01 |
| 1669015210 | Hometown Family Pharmacy, Inc. | Pharmacy | 930 Hall St Ste H, Wiggins, MS 39577-2113 | 2019-10-25 |
| 1225671001 | A & A Infusion & Specialty, LLC | Pharmacy | 124 E Jackson St, Belzoni, MS 39038-3642 | 2019-10-23 |
| 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.