FREDS STORES OF TENNESSEE INC


Address: 40 West Main Street, Old Fort, NC 28762-8932
Phone: 8286684347

FREDS STORES OF TENNESSEE INC (NPI# 1548597065) 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) 1548597065
Entity Type Organization
Organization Name FREDS STORES OF TENNESSEE INC
Other Organization Name FREDS PHARMACY 3784
Practice Address 40 West Main Street
Old Fort
NC 28762-8932
Mailing Address 4300 New Getwell Rd
Memphis
TN 38118-6801
Practice Telephone 8286684347
Mailing Telephone 9012382520
Mailing Fax Number 9013659820
Enumeration Date 2009-11-04
Last Update Date 2015-08-28
Authorized Official Name RICK CHAMBERS (VP)
Authorized Official Telephone 9012382477
Authorized Official Credential PHARMD
Is Organization Subpart Y
Parent Organization Name FREDS INC
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies 10393 NC Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
10393 NC Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP 3417917 01

Other Provider/Organization Names

Other Name Type Code
Freds Pharmacy 3784 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 40 WEST MAIN STREET
City OLD FORT
State NC
Zip Code 28762-8932

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841531423 Anita Elizabeth Ray Pharmacist 40 West Main Street, Old Fort, NC 28762 2013-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760802110 Eagle Chiropractic Family Wellness Center P A Chiropractor 262 Catawba Ave, Old Fort, NC 28762 2014-04-24
1942447354 Jason Thomas Mckeown Marriage & Family Therapist 197 Deer Valley Drive, Old Fort, NC 28762 2009-01-08
1174701288 Jon Charles Tripp Counselor 90 Mackey Farm Dr, Old Fort, NC 28762 2008-01-31
1205910049 H and W Services Inc Pharmacy 40 W Main Street, Old Fort, NC 28762 2006-10-25
1770583148 Mcdowell Community Health Services Clinic/Center 26 S Thomason St., Old Fort, NC 28762 2005-07-28
1790002160 The Mcdowell Hospital Inc Clinic/Center 32 E Main St, Old Fort, NC 28762 2010-04-26
1730413709 Leigh Vainio Johanson Physician Assistant 32 East Main Street, Old Fort, NC 28762 2009-09-24
1689685950 Cato Oliver Holler Jr. Dentist 212 East Main Street, Old Fort, NC 28762 2006-08-11
1134153786 Mcdowell Community Health Services Family Medicine 26 South Thomason Street, Old Fort, NC 28762 2006-07-10
1962978122 Mh Mission Hospital Mcdowell, Lllp Nurse Practitioner 32 E Main St, Old Fort, NC 28762-0017 2018-10-15
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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 state

NPI Name Taxonomy Address Enumeration
1336747872 Jordon Baker Acquisitions, Inc. Pharmacy 604 S Hwy 226, Bakersville, NC 28705 2020-10-16
1871100164 Pittsboro Pharmacy Pharmacy 630 East St Ste 11, Pittsboro, NC 27312-9475 2020-09-30
1245847599 Western Brothers LLC Pharmacy 1943 E 7th St, Charlotte, NC 28204-2417 2020-09-29
1881200897 University of North Carolina Health Care System Pharmacy 100 Eastowne Dr Ste 1100, Chapel Hill, NC 27514-2286 2020-09-16
1730792615 Jill Manning West Pharmacy 118 Mackenan Dr., Suite 200, Cary, NC 27511 2020-08-28
1912516196 Avs 2020 Inc Pharmacy 6118 Farrington Rd Ste H, Chapel Hill, NC 27517-8108 2020-07-23
1780202788 Rosemond Salia Pharmacy 720 E Highway 74 Business, Rockingham, NC 28379 2020-07-07
1801410295 Scenic Pharmacy, Inc Pharmacy 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 2020-06-02
1356977672 Cape Fear Discount Drug - Hope Mills, LLC Pharmacy 3018 N Main St, Hope Mills, NC 28348-1722 2020-03-18
1639705957 Cape Fear Discount Drug - Ramsey, LLC Pharmacy 4417 Ramsey St, Fayetteville, NC 28311-2134 2020-03-18
Find all providers with the same taxonomy

Competitor

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City OLD FORT
Zip Code 28762

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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