FREDS STORES OF TENNESSEE INC (NPI# 1720147846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720147846 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 1584 |
| Practice Address |
1265 Merchants Drive Dallas GA 30132 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 7705050144 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | MR. RICKY CHAMBERS (VP) |
| 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 |
PHRE009094 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1154715 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 1584 | 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 |
1265 MERCHANTS DRIVE |
| City | DALLAS |
| State | GA |
| Zip Code | 30132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205398526 | Away Lice Removal Specialists, LLC | Homeopath | 531 Hardee Street, Dallas, GA 30132 | 2019-04-04 |
| 1306313184 | Jessica Ramskogler | Counselor | 168 N. Johnson St, Suite 304, Dallas, GA 30132 | 2018-10-30 |
| 1912489337 | Michelle Jennifer Bergman | Lactation Consultant, Non-RN | 549 Waburn Walk, Dallas, GA 30132 | 2018-09-01 |
| 1457870099 | Dynamic Xray Solutions LLC | Clinic/Center | 77 Wellsey Way, Dallas, GA 30132 | 2017-09-14 |
| 1528438413 | Georgia Dental Professionals, PC | Dentist | 8709 Dallas Acworth Hwy, Dallas, GA 30132 | 2015-10-05 |
| 1013256130 | Paulding Auto Sales | Private Vehicle | 210 E Memorial Dr, Dallas, GA 30132 | 2013-02-08 |
| 1255613410 | Matthew Lerandal Talley | Chiropractor | 1305 Cedarcrest Road Suite#111, Dallas, GA 30132 | 2011-09-14 |
| 1003109422 | Ashlyn Drugs | Pharmacy | 1160 Old Harris Rd, Dallas, GA 30132 | 2011-05-18 |
| 1285942086 | Premier Hearing and Health Services Inc | Clinic/Center | 300 W I Parkway Ste 207, Premier Hearing and Health Services Inc, Dallas, GA 30132 | 2010-09-15 |
| 1578878963 | Karen Parris | Speech-Language Pathologist | 283 Red Hawk Way, Dallas, GA 30132 | 2010-08-10 |
| Find all providers in zip 30132 | ||||
| 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] |
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| 1841824133 | Rite Quality Health Inc | Pharmacy | 18900 Dallas Pkwy Ste 106, Dallas, TX 75287-6916 | 2020-02-26 |
| 1740810852 | Chc Care Specialty Pharmacy and Consultants LLC | Pharmacy | 14211 Coit Rd Ste 1, Dallas, TX 75254-2862 | 2020-01-17 |
| 1770127821 | Methodist Community Pharmacy, LLC | Pharmacy | 3500 W Wheatland Rd Ste B, Dallas, TX 75237-3460 | 2019-11-01 |
| 1144874967 | Capsule Dallas LLC | Pharmacy | 2909 Mckinney Ave Ste A, Dallas, TX 75204-7479 | 2019-07-30 |
| 1346800604 | Cvs Pharmacy Inc. | Pharmacy | 7979 Belt Line Rd, Dallas, TX 75254-8129 | 2019-06-19 |
| 1073087375 | Medical City Pharmacy LLC | Pharmacy | 3502 Simpson Stuart Rd Ste 300, Dallas, TX 75241-4420 | 2019-01-20 |
| 1538633326 | Methodist Community Pharmacy, LLC | Pharmacy | 1441 N Beckley Ave Lbby B, Dallas, TX 75203-1201 | 2019-01-15 |
| 1700358389 | Titan Specialty Pharmacy | Pharmacy | 8360 Lbj Fwy Ste 215, Dallas, TX 75243-1222 | 2018-12-20 |
| 1932676301 | Nugenerex Ptx1 | Pharmacy | 2301 S Hampton Rd Ste 850, Dallas, TX 75224-1618 | 2018-10-24 |
| Find all providers in DALLAS | ||||
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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.