FREDS STORES OF TENNESSEE INC


Address: 2601 South Main Street, Moultrie, GA 31768
Phone: 9012382520

FREDS STORES OF TENNESSEE INC (NPI# 1497032239) 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) 1497032239
Entity Type Organization
Organization Name FREDS STORES OF TENNESSEE INC
Other Organization Name FREDS PHARMACY 2524
Practice Address 2601 South Main Street
Moultrie
GA 31768
Mailing Address 4300 New Getwell Rd
Memphis
TN 38118-6801
Practice Telephone 9012382520
Mailing Fax Number 9013659820
Enumeration Date 2011-11-08
Last Update Date 2012-09-11
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 003121762A 05

Other Provider/Organization Names

Other Name Type Code
Freds Pharmacy 2524 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 2601 SOUTH MAIN STREET
City MOULTRIE
State GA
Zip Code 31768

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356975452 Zachary Schiffer Specialist/Technologist 3131 S Main Street, Moultrie, GA 31768 2020-02-27
1326697731 Daisy Concierge Care Nursing Care 437 S. Morris Rd Lt 1, Moultrie, GA 31768 2019-09-09
1194208751 Regina Mercer Ward Nurse Practitioner 1724 Villa Dr Sw, Moultrie, GA 31768 2018-09-10
1225473630 Moultrie Orthodontics, P.C. Clinic/Center 12 Longleaf Office Park, Moultrie, GA 31768 2013-04-30
1821382672 Colquitt Regional Ob/gyn, LLC Obstetrics & Gynecology 3 Sweet Bay Ct, Moultrie, GA 31768 2011-06-08
1568779809 Shana Goodno Nurse Practitioner 207 31 St Ave Se, Moultrie, GA 31768 2010-09-08
1508177445 Cherokee Rose Emergency Physicians Emergency Medicine 3131 South Main Street, Moultrie, GA 31768 2010-06-25
1023299963 Hetal Patel Counselor 600 2nd St South East, Moultrie, GA 31768 2007-11-20
1720146756 William C Byrd Inc Assisted Living Facility 498 5th Street Se, Moultrie, GA 31768 2006-12-04
1649366550 Jeffrey Scott Jarvis Pharmacist 705 South Main St, Moultrie, GA 31768 2006-10-05
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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
1487128799 Niday Drug Company LLC Pharmacy 2707 S Main St, Moultrie, GA 31768-6906 2019-01-20
1295283620 Convenient Rx LLC Pharmacy 640 Veterans Pkwy N, Moultrie, GA 31788 2016-09-14
1558427468 Hospital Pharmacy of Moultrie Inc Pharmacy 203 31st Ave Se, Moultrie, GA 31768-6703 2006-12-28
1295729861 South Georgia Pharmacy Services Inc Pharmacy 720 W Central Ave, Moultrie, GA 31768-3560 2005-09-09
1669937264 Colquitt County Hospital Authority Pharmacy 3131 S Main St, Moultrie, GA 31768-6925 2019-02-07
1801931555 Chancy Drugs Moultrie LLC Pharmacy 101 N Main St, Moultrie, GA 31768-3863 2007-02-20
1841393501 Georgia Cvs Pharmacy LLC Pharmacy 1027 S Main St, Moultrie, GA 31768-5438 2006-09-07

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 MOULTRIE
Zip Code 31768

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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