FREDS STORES OF TENNESSEE INC (NPI# 1679850416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679850416 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | GETWELL DRUG AND DOLLAR 6018 |
| Practice Address |
6 East Second Avenue Glenwood GA 30428 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 9125235094 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2015-04-06 |
| Authorized Official Name | RICK CHAMBERS (VICE PRESIDENT) |
| Authorized Official Telephone | 9012382477 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003121718A | 05 |
| Other Name | Type Code |
|---|---|
| Getwell Drug and Dollar 6018 | 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 |
6 EAST SECOND AVENUE |
| City | GLENWOOD |
| State | GA |
| Zip Code | 30428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629437280 | Commissioner of Roads & Revenue Wheeler County | Ambulance | 18 East Third St, Glenwood, GA 30428 | 2016-02-11 |
| 1871877753 | Cindy Vann | Occupational Therapy Assistant | 802 South 2nd Street, Glenwood, GA 30428 | 2011-10-10 |
| 1699085761 | Heartland Ems Inc | Ambulance | 61 West 4th St., Glenwood, GA 30428 | 2010-10-07 |
| 1356581763 | Orthopedic Center PC | Physician Assistant | 322 East 2nd Avenue, Glenwood, GA 30428 | 2009-02-25 |
| 1780880583 | Wheeler County Hospital | General Acute Care Hospital | 111 North 3rd Street, Glenwood, GA 30428 | 2007-06-27 |
| 1720113939 | Mcintyrepharmacy LLC Dba Glenwood Pharmacy | Pharmacy | 114 E 2nd Ave, Glenwood, GA 30428 | 2007-02-21 |
| 1184771586 | Lower Oconee Community Hospital Inc | General Acute Care Hospital | 111 N 3rd Street, P O Bx 398, Glenwood, GA 30428 | 2007-01-05 |
| 1518048982 | Glenwood Drug,inc Dba Glenwood Pharmacy | Pharmacy | 150 Nw 3rd Ave., Glenwood, GA 30428 | 2006-10-18 |
| 1063434652 | Lower Oconee Community Hospital Pharmacy | Pharmacy | 111 North Third Street, Glenwood, GA 30428 | 2006-07-24 |
| 1831152503 | Boatwright-mcrae Clinic | Clinic/Center | 441 N W Broat St, Mtvernon, GA 30428 | 2006-04-11 |
| Find all providers in zip 30428 | ||||
| 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 |
|---|---|---|---|---|
| 1639372055 | Margramon P C | Pharmacy | 1206 S Locust St, Glenwood, IA 51534 | 2007-06-06 |
| 1720113939 | Mcintyrepharmacy LLC Dba Glenwood Pharmacy | Pharmacy | 114 E 2nd Ave, Glenwood, GA 30428 | 2007-02-21 |
| 1902946668 | Phils Pharmacy Inc | Pharmacy | 253 Hwy 70 Wast, Glenwood, AR 71943 | 2007-02-08 |
| 1518048982 | Glenwood Drug,inc Dba Glenwood Pharmacy | Pharmacy | 150 Nw 3rd Ave., Glenwood, GA 30428 | 2006-10-18 |
| 1063434652 | Lower Oconee Community Hospital Pharmacy | Pharmacy | 111 North Third Street, Glenwood, GA 30428 | 2006-07-24 |
| 1275994501 | Cw Family Pharmacy | Pharmacy | 210 E Broadway, Glenwood, AR 71943-9243 | 2016-03-15 |
| 1922435841 | Hy Vee Inc | Pharmacy | 409 S Locust St, Glenwood, IA 51534-1826 | 2013-10-09 |
| 1326242850 | Ruffner Pharmacy, LLC | Pharmacy | 409 S Locust St, Glenwood, IA 51534-1826 | 2007-06-11 |
| 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 |
| 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.