FREDS STORES OF TENNESSEE INC


Address: 603 Middleton Rd, Winona, MS 38967-2021
Phone: 6622831393

FREDS STORES OF TENNESSEE INC (NPI# 1518999556) 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) 1518999556
Entity Type Organization
Organization Name FREDS STORES OF TENNESSEE INC
Other Organization Name FREDS PHARMACY 3241
Practice Address 603 Middleton Rd
Winona
MS 38967-2021
Mailing Address 6625 Lenox Park Blvd.
Suite 200
Memphis
TN 38115
Practice Telephone 6622831393
Practice Fax Number 6622835103
Mailing Telephone 9012382520
Mailing Fax Number 9013659820
Enumeration Date 2006-07-07
Last Update Date 2019-08-30
Authorized Official Name JOSEPH ANTO (CEO)
Authorized Official Telephone 9013623733
Is Organization Subpart Y
Parent Organization Name FREDS INC
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy 2006PFW MS Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
2006PFW MS Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 2515293 01
MS 00336816 05

Other Provider/Organization Names

Other Name Type Code
FREDS PHARMACY 3241 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 603 MIDDLETON RD
City WINONA
State MS
Zip Code 38967-2021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598057762 Bruce T Welch Pharmacist 603 Middleton Rd, Winona, MS 38967-2021 2011-05-06
1437676962 Roger Beardain Pharmacist 603 Middleton Rd, Winona, MS 38967 2017-08-25
1093231037 Rochelle Reed Jordan Pharmacist 603 Middleton Rd, Winona, MS 38967-2021 2017-08-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538630835 Zachary Leon Selby Occupational Therapist 1521, 409 Tyler Holmes Dr, Winona, MS 38967 2018-12-12
1275937211 Tonette Holmes Community Health Worker 720 Simpson Dr, Winona, MS 38967 2014-10-20
1124274196 Family Health Care Clinic, Inc. Clinic/Center 123 N Front St, Winona, MS 38967 2008-08-11
1588782577 Jacquelyn D Lucas Optometrist 639 Middleton Rd, Winona, MS 38967 2007-03-27
1154447514 Robert Manning Dentist 1612 Hwy 51 N, Winona, MS 38967 2007-03-21
1518034347 Hammonds Pharmacy Inc Pharmacy 405c N Applegate, Winona, MS 38967 2006-11-29
1336256858 Kilmichael Medical Suppliers Inc Durable Medical Equipment & Medical Supplies 107 N Front Street, Winona, MS 38967 2006-08-23
1285649855 Tyler Holmes Memorial Hospital Family Medicine 700 Woodland Drive, Winona, MS 38967 2006-07-30
1235323643 Kilmichael Medical Supplies Pharmacist 107 N Front Street, Winona, MS 38967 2007-08-29
1609076702 Kilmichael Medical Suppliers Pharmacist 107 N Front Street, Winona, MS 38967 2007-07-18
Find all providers in zip 38967

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
1477104297 Winona Drugs Pharmacy 500 N Applegate St Ste A, Winona, MS 38967-1829 2019-09-23
1063061166 Dabbs Brothers LLC Pharmacy 908 S Applegate St, Winona, MS 38967-3037 2019-09-10
1518034347 Hammonds Pharmacy Inc Pharmacy 405c N Applegate, Winona, MS 38967 2006-11-29
1417979105 Grand St Paul Cvs LLC Pharmacy 860 Mankato Ave, Winona, MN 55987-4867 2006-07-24
1144521089 Winona Health Services Pharmacy 859 Mankato Ave, Winona, MN 55987-6435 2010-11-09
1154341501 Roger F Harwich Charles W Rogers Sidney Hughes Etal Pharmacy 859 Mankato Ave, Winona, MN 55987-6435 2006-07-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City WINONA
Zip Code 38967

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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