FREDS STORES OF TENNESSEE INC (NPI# 1538191473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538191473 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 2246 |
| Practice Address |
5028 S 1st St Milan TN 38358-3196 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 7316869097 |
| Practice Fax Number | 7317239012 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-09-18 |
| 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 | C1963 | TN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | C1963 | TN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
C1963 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4428113 | 01 | |
| TN | 9449877 | 05 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 2246 | 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 |
5028 S 1ST ST |
| City | MILAN |
| State | TN |
| Zip Code | 38358-3196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083910855 | Albert M Valentine Jr. | Pharmacist | 5028 S 1st St, Milan, TN 38358-3196 | 2011-01-27 |
| 1265931372 | Clifford Lee Edwards Sr. | Pharmacist | 5028 S 1st St, Milan, TN 38358-3196 | 2018-02-04 |
| 1730472028 | Otis W Stanfield | Pharmacist | 5028 S 1st St, Milan, TN 38358-3196 | 2011-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478561 | Virginia Houston Emerson | Pharmacist | Walgreens 15785, 6068 S First St, Milan, TN 38358 | 2020-08-20 |
| 1245756329 | Trey Anderson Tate | Physical Therapist | 2060 Rhino Crossing, Milan, TN 38358 | 2017-08-21 |
| 1407254808 | Shelley Nicole Reaves | Registered Nurse | 9159 Telecom Dr, Milan, TN 38358 | 2014-12-17 |
| 1871908632 | Kathleen L Ingalls | Physical Therapist | 6070 D South First Street, Milan, TN 38358 | 2014-06-30 |
| 1881968550 | Home Master Group | Contractor | 2052 Rhino Crossing, Milan, TN 38358 | 2012-02-28 |
| 1073826889 | Howell Scott Holmes Jr. | Physical Therapist | 2047 Kefauver Dr Ste B, Milan, TN 38358 | 2010-07-21 |
| 1831249093 | State of Tennessee | Public Health or Welfare | 6501 Telecom Drive, Milan, TN 38358 | 2007-01-11 |
| 1275681744 | Krystal L Maclin | Occupational Therapist | 8017 Dogwood Lane, Milan, TN 38358 | 2007-01-08 |
| 1417978206 | Carol Ann Minton | Optometrist | 6032 Telecom Drive, Milan, TN 38358 | 2006-07-21 |
| 1487682142 | William Hudson Harrison | Dentist | 4129 S 1st St, Milan, TN 38358 | 2006-06-29 |
| Find all providers in zip 38358 | ||||
| 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 |
|---|---|---|---|---|
| 1164527479 | E.w. James & Sons | Pharmacy | 5024 S 1st St, Milan, TN 38358-3196 | 2006-09-13 |
| 1316968308 | Flippin Drug Company, Inc | Pharmacy | 3107 Highland St, Milan, TN 38358-3113 | 2006-07-22 |
| 1053352922 | Highland Park Cvs LLC | Pharmacy | 910 4th St W, Milan, IL 61264-2318 | 2006-06-09 |
| 1811396914 | Qmi LLC | Pharmacy | 111 E 2nd St, Milan, MO 63556-1331 | 2014-08-14 |
| 1942547468 | Milan Hometown Pharmacy | Pharmacy | 3107 Highland St, Milan, TN 38358-3113 | 2013-01-04 |
| 1578745378 | Am Home Medical Equipment and Supplies | Pharmacy | 112 W 3rd St, Milan, MO 63556-1340 | 2007-12-04 |
| 1518989961 | Nancy Kay Scott Et Al Ptr | Pharmacy | 111 E 2nd St, Milan, MO 63556-1331 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| 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.