FREDS STORES OF TENNESSEE INC (NPI# 1750515276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750515276 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 2409 |
| Practice Address |
1318 S Highway 21 Byp Monroeville AL 36460-1924 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 2517434036 |
| Practice Fax Number | 2517433980 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-12-22 |
| Authorized Official Name | RICKY CHAMBERS (VP) |
| Authorized Official Telephone | 9012382477 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDS INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 113267 | AL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
113267 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 0135954 | 01 | |
| AL | 111034 | 05 |
| Other Name | Type Code |
|---|---|
| Freds Pharmacy 2409 | 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 |
1318 S HIGHWAY 21 BYP |
| City | MONROEVILLE |
| State | AL |
| Zip Code | 36460-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649588609 | William Eugene Nowling | Pharmacist | 1318 S Highway 21 Byp, Monroeville, AL 36460-1924 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710288 | Nickie Monique Hudson | Counselor | 241 South Alabama Ave, Monroeville, AL 36460 | 2019-10-04 |
| 1275056525 | Rural Urgent Care LLC | Clinic/Center | 1195 S Alabama Ave, Monroeville, AL 36460 | 2017-07-19 |
| 1053790907 | Stregwill Homes of Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3170 Hwy 21 Bypass, Monroeville, AL 36460 | 2015-05-26 |
| 1053592295 | Monroe County Health Care Authority | Family Medicine | 1075 Drewry Road, Monroeville, AL 36460 | 2007-11-15 |
| 1285846717 | Advantage Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 1979 Hwy 21 Bypass, Monroeville, AL 36460 | 2007-05-04 |
| 1306995618 | Philen and Powell Inc | Pharmacy | 55 Mayfield St, Monroeville, AL 36460 | 2007-01-09 |
| 1841375110 | Monroeville Radiation Oncology | Radiology | 200 Rumbley Road, Monroeville, AL 36460 | 2006-10-26 |
| 1215042403 | Bruno's Supermarket, LLC. | Durable Medical Equipment & Medical Supplies | 512 Pike Street, Monroeville, AL 36460 | 2006-08-20 |
| 1881628162 | Southwest Alabama Behavioral Health Care Systems | Clinic/Center | 328 West Claiborne Street, Monroeville, AL 36460 | 2006-07-10 |
| 1740283548 | Albert R Boroughs Iv | Family Medicine | 75 Highway 136 W, Monroeville, AL 36460 | 2005-05-24 |
| Find all providers in zip 36460 | ||||
| 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 |
|---|---|---|---|---|
| 1861025520 | Monroe County Health Care Authority | Pharmacy | 2016 S Alabama Ave Ste D, Monroeville, AL 36460-3044 | 2020-02-20 |
| 1063961803 | Sam's Club Pharmacy | Pharmacy | 3621 William Penn Hwy, Monroeville, PA 15146-2123 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| 1366066144 | Jones Drugs LLC | Pharmacy | 3482 Crosswinds Dr, Phenix City, AL 36869 | 2020-06-08 |
| 1104448067 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 201 Governors Dr Sw Ste 305, Huntsville, AL 35801-5170 | 2020-05-14 |
| 1609401678 | Pharmacy Investment Coordinators Inc | Pharmacy | 1301 Andrews Ave, Ozark, AL 36360-3717 | 2020-03-10 |
| 1982235230 | Shiftrx Uab Mw, LLC | Pharmacy | 985 9th Ave Sw Ste 100, Bessemer, AL 35022-7810 | 2020-01-27 |
| 1316577943 | Gulf Health Management Services Inc | Pharmacy | 95 Shell St Ste 110, Saraland, AL 36571-2202 | 2020-01-23 |
| 1952931115 | Howard Pharmacy LLC | Pharmacy | 770a Pierce Rd, Mobile, AL 36608-9441 | 2020-01-16 |
| 1972144798 | Hh Health System - Marshall LLC | Pharmacy | 11491 Us Highway 431 Ste 1, Albertville, AL 35950-0136 | 2019-10-02 |
| 1275184517 | Avita Drugs Alabama, LLC | Pharmacy | 3220 5th Ave S, Birmingham, AL 35222-2309 | 2019-09-27 |
| 1811548746 | Scpg Alabama LLC | Pharmacy | 1508 Military St S, Hamilton, AL 35570-5006 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
| City | MONROEVILLE |
| Zip Code | 36460 |
Please comment or provide details below to improve the information on FREDS STORES OF TENNESSEE INC.
| 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.