FRED'S OF DONIPHAN, INC (NPI# 1457864266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457864266 |
| Entity Type | Organization |
| Organization Name | FRED'S OF DONIPHAN, INC |
| Other Organization Name | SUPER SAVER PHARMACY |
| Practice Address |
100 H&s Drive Doniphan MO 63935 |
| Mailing Address |
Po Box 337 Doniphan MO 63935-0337 |
| Practice Telephone | 5739965220 |
| Practice Fax Number | 5739963790 |
| Mailing Telephone | 5739963953 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | CLAYTON JAMISON (OWNER) |
| Authorized Official Telephone | 5739963953 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRED'S OF DONIPHAN, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Fred's Pharmacy | Doing Business As Name - Organization |
| Super Saver Pharmacy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 S&h Drive, Doniphan, MO 63935 | 5739963953 |
| Street Address |
100 H&S DRIVE |
| City | DONIPHAN |
| State | MO |
| Zip Code | 63935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518470970 | Freds of Doniphan Inc | Pharmacy | 100 H&s Drive, Doniphan, MO 63935 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235647629 | Reorganized School Dist 4 | Local Education Agency (LEA) | Hcr 7, Box 51, Doniphan, MO 63935 | 2018-01-19 |
| 1144737206 | Amy Jo Harris | Licensed Practical Nurse | 209 W Highway St, Doniphan, MO 63935 | 2018-01-10 |
| 1053706390 | Amazing In Home Services, LLC | In Home Supportive Care | 106 Lafayette Street, Doniphan, MO 63935 | 2015-04-03 |
| 1447649595 | Keshia J Russell | Speech-Language Pathologist | 1002 Elm Street, Doniphan, MO 63935 | 2015-01-13 |
| 1720327596 | Jessica L Eddington | Physical Therapist | 1015 Grand Street, Doniphan, MO 63935 | 2013-02-13 |
| 1700150927 | Ripley County Family Resource Center | Community/Behavioral Health | 204 Summit St., Doniphan, MO 63935 | 2012-03-06 |
| 1205107810 | Ripley County Family Resource Center | Community/Behavioral Health | 204 Summit, Doniphan, MO 63935 | 2012-01-13 |
| 1386825248 | Shopko Stores Operating Co LLC | Pharmacy | 111 Leroux Dr, Doniphan, MO 63935 | 2007-11-20 |
| 1104010081 | American Consumer Directed Services, L.L.C. | Clinic/Center | Rr 3, Box 2199, Doniphan, MO 63935 | 2007-09-04 |
| 1548307580 | Dena Seratt | Physical Therapist | 603 Summit Street, Doniphan, MO 63935 | 2007-01-31 |
| Find all providers in zip 63935 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295035327 | Hometown Pharmacy Management LLC | Durable Medical Equipment & Medical Supplies | 110 Leroux Street, Doniphan, MO 63935-0000 | 2010-10-22 |
| 1285774828 | Osage Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 513b Grand Ave, Doniphan, MO 63935-1405 | 2007-02-06 |
| 1881791531 | City Drugs Inc | Durable Medical Equipment & Medical Supplies | 111 Leroux St, Doniphan, MO 63935-1038 | 2006-09-17 |
| 1316953987 | Osage Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 513b N Grand Ave, Doniphan, MO 63935-1405 | 2006-08-01 |
| 1609911643 | E & S Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1105 Walnut St, Doniphan, MO 63935-1339 | 2007-02-20 |
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| 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.