FREDS STORES OF TENNESSEE INC (NPI# 1740212687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740212687 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS XPRESS 3921 |
| Practice Address |
801 E Jackson Rd Union MS 39365-2213 |
| Mailing Address |
6625 Lenox Park Blvd. Suite 200 Memphis TN 38115 |
| Practice Telephone | 6017748283 |
| Practice Fax Number | 6017748284 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | RAHUL KULKARNI (SVP OF FINANCE) |
| Authorized Official Telephone | 8003747417 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 293011 | MS | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
293011 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00330790 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2521929 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS XPRESS 3921 | 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 |
801 E JACKSON RD |
| City | UNION |
| State | MS |
| Zip Code | 39365-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609427533 | Scpg Mississippi LLC | Pharmacy | 801 E Jackson Rd, Union, MS 39365-2213 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861849614 | Telehealthone LLC | Nurse Practitioner | 801 East Jackson Street, Union, MS 39365 | 2016-05-23 |
| 1912065434 | Union Discount Pharmacy | Pharmacy | 25025 Hwy 15, Union, MS 39365 | 2006-12-05 |
| 1679531438 | Alliance-laird Nursing Home, LLC | Nursing Facility/Intermediate Care Facility | 25112 Hwy 15, Union, MS 39365 | 2006-05-02 |
| 1518349984 | Christopher Moore | Family Medicine | 24345 Highway 15, Union, MS 39365 | 2015-06-22 |
| 1144753823 | Quinn's Family Pharmacy, Inc | Pharmacy | 24944 Hwy 15, Union, MS 39365-1565 | 2017-04-10 |
| 1154586089 | Emily Nail Fleming | Optometrist | 210 Bank St, Union, MS 39365-2504 | 2008-07-21 |
| 1053556597 | Union Eye Care LLC | Optometrist | 109 Main St, Union, MS 39365-2519 | 2008-12-12 |
| 1487825444 | L. B. Adkins, O.d | Optometrist | 109 Main St, Union, MS 39365-2519 | 2008-03-18 |
| 1730265489 | L B Adkins | Optometrist | 109 Main St, Union, MS 39365-2519 | 2006-10-27 |
| 1548248800 | Dura-quip Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 205 Main St, Union, MS 39365-2521 | 2006-01-06 |
| Find all providers in zip 39365 | ||||
| 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 |
|---|---|---|---|---|
| 1386016525 | Jethakaushkamal Inc | Pharmacy | 1024 Stuyvesant Ave, Union, NJ 07083 | 2015-10-28 |
| 1720110448 | Perkins Union Center Pharmacy | Pharmacy | 1023 Stuyvesant Ave, Union, NJ 07083 | 2007-03-09 |
| 1952451288 | Restoration Pharmacy LLC | Pharmacy | 2153 Tyler Street, 1385 Stuyvesant St, Union, NJ 07083 | 2007-01-11 |
| 1912065434 | Union Discount Pharmacy | Pharmacy | 25025 Hwy 15, Union, MS 39365 | 2006-12-05 |
| 1811070154 | New Jersey Cvs Pharmacy LLC | Pharmacy | 2287 Morris Ave, Union, NJ 07083-5701 | 2006-10-23 |
| 1528150257 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1011 Morris Ave, Union, NJ 07083-7120 | 2006-09-29 |
| 1497858260 | South Carolina Cvs Pharmacy LLC | Pharmacy | 599 Rice Ave, Union, SC 29379-1840 | 2006-09-07 |
| 1891805412 | Costco Wholesale Corporation | Pharmacy | 1055 Hudson St, Union, NJ 07083-6809 | 2006-08-30 |
| 1386677490 | Walgreen Co | Pharmacy | 807 Us Highway 50 E, Union, MO 63084-2248 | 2006-07-09 |
| 1942246434 | Palmetto Drugs Incorporated | Pharmacy | 105 Lakeside Dr, Union, SC 29379-1927 | 2006-06-21 |
| Find all providers in UNION | ||||
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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.