FREDS STORES OF TENNESSEE INC (NPI# 1457664641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457664641 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY #2491 |
| Practice Address |
601 S. Mason St. Mount Vernon GA 30445-3048 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 9125830133 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | DR. 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | PHRE009679 | GA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000769227C | 05 |
| Other Name | Type Code |
|---|---|
| Freds Pharmacy #2491 | 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 |
601 S. MASON ST. |
| City | MOUNT VERNON |
| State | GA |
| Zip Code | 30445-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396175345 | Allcare PC | Pharmacy | 115 Spring St, Mount Vernon, GA 30445 | 2013-11-12 |
| 1760750467 | Lower Oconee Community Hospital, Inc. | Family Medicine | 421 W Robinson Drive, Mount Vernon, GA 30445 | 2011-12-08 |
| 1982819124 | Duncan Mcrae House, Inc | Assisted Living Facility | 129 South Railroad Avenue, Mt. Vernon, GA 30445 | 2007-05-11 |
| 1972729580 | Meadows Regional Medical Center | Clinic/Center | 201 W. Sutton St., Mount Vernon, GA 30445 | 2007-04-18 |
| 1255409215 | County of Montgomery Health Department | Public Health or Welfare | 218 West Broad Street, Mt. Vernon, GA 30445 | 2006-11-30 |
| 1578633418 | Montgomery County Board of Education | Local Education Agency (LEA) | 403 Fulton St, Mount Vernon, GA 30445 | 2006-11-08 |
| 1194868539 | Mount Vernon Drug Company | Pharmacist | 421 S Railroad Ave, Mount Vernon, GA 30445-0195 | 2007-02-15 |
| 1497751077 | Montgomery Medical Equipment, Inc. | Pharmacy | 103 S Richardson St, Mount Vernon, GA 30445-2611 | 2005-06-28 |
| 1164547287 | Lower Oconee Community Hospital, Inc | Clinic/Center | 441 W Broad Street, Mount Vernon, GA 30445-2629 | 2007-03-20 |
| 1659741221 | Shonda Lafaye Madison | Counselor | 1110 N Minnie St, Mount Vernon, GA 30445-2716 | 2015-09-25 |
| Find all providers in zip 30445 | ||||
| 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 |
|---|---|---|---|---|
| 1114545571 | Medlife Pharmacy LLC | Pharmacy | 213 Highway 37 Ste 200&300, Mount Vernon, TX 75457-3106 | 2020-07-10 |
| 1396175345 | Allcare PC | Pharmacy | 115 Spring St, Mount Vernon, GA 30445 | 2013-11-12 |
| 1811040918 | Brown & Cole Stores LLC | Pharmacy | 1515 N 18th St, Mount Vernon, WA 98273-2675 | 2007-01-19 |
| 1649374695 | Marco Pharmacy and Optical Inc | Pharmacy | 4121 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2006-09-12 |
| 1992808695 | Hook Superx LLC | Pharmacy | 700 E 4th St, Mount Vernon, IN 47620-2011 | 2006-09-07 |
| 1467555235 | Highland Park Cvs, L.L.C. | Pharmacy | 2700 Broadway St, Mount Vernon, IL 62864-2342 | 2006-09-07 |
| 1316970650 | Haggen, Inc | Pharmacy | 2601 E Division St, Mount Vernon, WA 98274-4748 | 2006-07-09 |
| 1417923012 | Mt Vernon Community Pharmacy Inc | Pharmacy | 2339 Broadway St, Mount Vernon, IL 62864-2925 | 2006-02-24 |
| 1619592763 | Knox Community Hospital | Pharmacy | 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 | 2020-06-15 |
| 1639644156 | Mabd Enterprises, LLC | Pharmacy | 115 W Spring St, Mount Vernon, GA 30445-2957 | 2018-10-11 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 30445 |
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.