FRED'S STORES OF TENNESSEE INC (NPI# 1710364344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710364344 |
| Entity Type | Organization |
| Organization Name | FRED'S STORES OF TENNESSEE INC |
| Other Organization Name | FRED'S PHARMACY #3810 |
| Practice Address |
702 W Highway 25 70 Newport TN 37821-9020 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 4236256178 |
| Practice Fax Number | 4236256180 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-09-04 |
| Authorized Official Name | RICK CHAMBERS (VICE PRESIDENT) |
| Authorized Official Telephone | 9012382477 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRED'S INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Fred's Pharmacy #3810 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356718050 | Fred's Stores of Tennessee Inc | Pharmacy | 978 Ga Highway 46 E., Metter, GA 30439 | 2015-08-28 |
| 1972901189 | Fred's Stores of Tennessee Inc | Pharmacy | 1117 Lincoln Park Rd, Springfield, KY 40069 | 2014-12-22 |
| 1306368352 | Fred's Stores of Tennessee Inc | Pharmacy | 13907 High Rd, Mabelvale, AR 72103-3212 | 2017-07-12 |
| 1043609266 | Fred's Stores of Tennessee Inc | Pharmacy | 13092 N Main St, Somerville, TN 38068-1421 | 2015-01-12 |
| Street Address |
702 W HIGHWAY 25 70 |
| City | NEWPORT |
| State | TN |
| Zip Code | 37821-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912348830 | T.g.b.t.g. Enterprise Inc. | Pharmacist | 702 W Highway 25 70, Newport, TN 37821-9020 | 2013-07-08 |
| 1073086807 | Bunch Medical LLC | Pharmacy | 702 W Highway 25 70, Newport, TN 37821-9020 | 2019-01-04 |
| 1912373135 | Janet Crowe | Pharmacist | 702 W Highway 25 70, Newport, TN 37821-9020 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733593 | Deborah Diane Webb | Licensed Practical Nurse | 1203 Beechwood Road, Newport, TN 37821 | 2019-04-08 |
| 1972072353 | Meg Marie Collins | Counselor | 990 Hwy 25, Newport, TN 37821 | 2018-11-15 |
| 1184199515 | Newport Family Eyecare | Optometrist | 1002 W Highway 25/70, Newport, TN 37821 | 2018-10-12 |
| 1578807269 | Newport Eyecare Center Pllc | Optometrist | 115 Hedrick Drive, Newport, TN 37821 | 2012-11-19 |
| 1538292867 | James Loran Hodge | Optometrist | 1075 Cosby Highway, Newport, TN 37821 | 2007-03-14 |
| 1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1255404497 | Jeremy E Sherrod | Pharmacist | 602 E Broadway, Newport, TN 37821 | 2006-11-16 |
| 1316016306 | Stephen Kent Priser | Pharmacist | 468 Eastern Plaza, Newport, TN 37821 | 2006-11-06 |
| 1881770006 | Steven Fuller Smith | Dentist | 305 Cosby Hwy, Newport, TN 37821 | 2006-10-31 |
| Find all providers in zip 37821 | ||||
| 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 |
|---|---|---|---|---|
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1114014081 | North Carolina Cvs Pharmacy, L.l.c | Pharmacy | 129 Nine Foot Road, Newport, NC 28570-9251 | 2006-10-10 |
| 1073086807 | Bunch Medical LLC | Pharmacy | 702 W Highway 25 70, Newport, TN 37821-9020 | 2019-01-04 |
| 1629372586 | Kentucky Cvs Pharmacy LLC | Pharmacy | 160 Pavilion Pkwy, Newport, KY 41071-2884 | 2011-01-06 |
| 1821209446 | Samaritan Pacific Health Services Inc | Pharmacy | 930 Sw Abbey St, Newport, OR 97365-4820 | 2007-05-25 |
| 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.