FRED'S STORES OF TENNESSEE INC. (NPI# 1750870192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750870192 |
| Entity Type | Organization |
| Organization Name | FRED'S STORES OF TENNESSEE INC. |
| Other Organization Name | REEVES-SAIN DRUG STORE #3978 |
| Practice Address |
1801 Memorial Blvd Murfreesboro TN 37129-1522 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 6158965731 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MRS. JOYCE ROBERTSON (RX LICENSING & PERMITTING SPECIALIS) |
| Authorized Official Telephone | 9012382520 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRED'S INC. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
493 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1720170004 | 05 | |
| TN | 1452477 | 05 |
| Other Name | Type Code |
|---|---|
| Reeves-Sain Drug Store #3978 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497117881 | Fred's Stores of Tennessee Inc. | Pharmacy | 1550 S. Zach Hinton Parkway, Mcdonough, GA 30253 | 2016-03-24 |
| 1629443429 | Fred's Stores of Tennessee Inc. | Pharmacy | 620 E Franklin St Ste A, Sylvester, GA 31791-7189 | 2015-12-04 |
| 1043684228 | Fred's Stores of Tennessee Inc. | Pharmacy | 1803 E Gentry Pkwy, Tyler, TX 75702-3564 | 2015-11-25 |
| 1053785238 | Fred's Stores of Tennessee Inc. | Pharmacy | 1123 State Highway 110 N, Whitehouse, TX 75791-3055 | 2015-11-25 |
| 1083088512 | Fred's Stores of Tennessee Inc. | Pharmacy | 1938 Main Street, Cadiz, KY 42211 | 2015-11-20 |
| 1346632460 | Fred's Stores of Tennessee Inc. | Durable Medical Equipment & Medical Supplies | 4401 Bemiss Rd, Valdosta, GA 31605-6049 | 2015-02-26 |
| 1639561756 | Fred's Stores of Tennessee Inc. | Pharmacy | 1442 Tift Ave N, Tifton, GA 31794-3545 | 2015-02-26 |
| 1023410727 | Fred's Stores of Tennessee Inc. | Pharmacy | 94 Upper Riverdale Rd Sw, Riverdale, GA 30274-2622 | 2014-09-24 |
| 1548662315 | Fred's Stores of Tennessee Inc. | Pharmacy | 1718 S Waukesha St, Bonifay, FL 32425-3114 | 2014-09-23 |
| 1528509239 | Fred's Stores of Tennessee Inc. | Pharmacy | 13907 High Rd, Mabelvale, AR 72103-3212 | 2017-03-14 |
| Street Address |
1801 MEMORIAL BLVD |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174541221 | Richard Sain | Pharmacist | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2006-07-17 |
| 1780105619 | Grace Michael | Pharmacist | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2017-06-30 |
| 1831629054 | Wendell Taylor Black | Pharmacist | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2017-06-20 |
| 1194192013 | Mara Gibson | Pharmacist | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2015-08-26 |
| 1679961916 | Donna Randolph | Pharmacist | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2015-01-08 |
| 1952614406 | Shannon Woods Beckman | Pharmacist | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2010-07-26 |
| 1730377060 | Sarah Frank | Pharmacist | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2007-10-11 |
| 1326188731 | Ronald Whaley | Pharmacist | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2007-02-07 |
| 1255482907 | Laurie Wamack | Pharmacist | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2007-01-16 |
| 1720170004 | Reeves Sain Drug Store Inc | Pharmacy | 1801 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| 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 |
|---|---|---|---|---|
| 1699303354 | Boh Pharmacy Group LLC | Pharmacy | 3163 S Church St Ste A, Murfreesboro, TN 37127-7175 | 2020-03-30 |
| 1932753431 | Black's Apothecary | Pharmacy | 1636 Memorial Blvd, Murfreesboro, TN 37129-2104 | 2019-08-01 |
| 1831580885 | Wal-mart Stores East Lp | Pharmacy | 140 Joe B Jackson Pkwy, Murfreesboro, TN 37127-7228 | 2015-02-12 |
| 1871928861 | Support Rx, LLC | Pharmacy | 1821 Heritage Park Plz, Suite 3b, Murfreesboro, TN 37129-0566 | 2013-09-09 |
| 1245561968 | Wellness Pharmacy Murfreesboro LLC | Pharmacy | 1547 Warrior Drive, Murfreesboro, TN 37128 | 2010-01-20 |
| 1932398468 | Mills Family Pharmacy LLC | Pharmacy | 2994 S Church St, Murfreesboro, TN 37127-8351 | 2007-10-22 |
| 1104048206 | Kroger Limited Partnership I | Pharmacy | 2050 Lascassas Pike, Murfreesboro, TN 37130-1936 | 2007-05-02 |
| 1285258285 | Ashley O'donnell | Pharmacy | 3010 S Church St, Murfreesboro, TN 37127-6363 | 2020-06-04 |
| 1265981658 | Rutherford County Primary Care | Pharmacy | 1453 Hope Way, Murfreesboro, TN 37129-3140 | 2016-09-26 |
| 1285025726 | Tutela Rx LLC | Pharmacy | 1419 Kensington Square Ct, Murfreesboro, TN 37130-6939 | 2015-02-05 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
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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.