FREDS STORES OF TENNESSEE INC (NPI# 1801828744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801828744 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 2186 |
| Practice Address |
890 Overton Plz Livingston TN 38570-1731 |
| Mailing Address |
6625 Lenox Park Blvd. Suite 200 Memphis TN 38115 |
| Practice Telephone | 9318232044 |
| Practice Fax Number | 9318239276 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | JOSEPH ANTO (CEO) |
| Authorized Official Telephone | 9013623733 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDS INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | C2359 | TN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
C2359 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 9449814 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4427351 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 2186 | 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 |
890 OVERTON PLZ |
| City | LIVINGSTON |
| State | TN |
| Zip Code | 38570-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659680346 | Paula Harris | Pharmacist | 890 Overton Plz, Livingston, TN 38570-1731 | 2010-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275825648 | Larry W Neal | Non-emergency Medical Transport (VAN) | 4145 Bradford Hicks Dr, Livingston, TN 38570 | 2011-05-04 |
| 1457682734 | Rocky Top Delivery Service | Non-emergency Medical Transport (VAN) | 11653 Bradford Hicks Dr., Livingston, TN 38570 | 2010-01-26 |
| 1790936425 | Linde-rss, LLC | Durable Medical Equipment & Medical Supplies | 104b West Court Square, Livingston, TN 38570 | 2008-09-30 |
| 1114053816 | Angela Abbott | Registered Nurse | 5885 Bradford Hicks Drive, Tn Dept of Health, Livingston, TN 38570 | 2007-02-26 |
| 1700929205 | Cumberland Plateau Recovery | Counselor | 550 North Church Street, Livingston, TN 38570 | 2007-02-14 |
| 1467594614 | Med-way Mobile X Ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 Mchenry Circle, Livingston, TN 38570 | 2007-02-13 |
| 1710900691 | Buckeye Home Health Center, Inc. | Durable Medical Equipment & Medical Supplies | 321 West Broad St, Suite A, Livingston, TN 38570 | 2006-07-25 |
| 1982647665 | Mark Douglas Pressley | Emergency Medicine | Livingston Regional Hospital, 315 Oak Street, Livingston, TN 38570 | 2006-06-13 |
| 1245586031 | Shellnuts Aces Inc | Pharmacy | 1970 Bradford Hicks Dr, Ste B, Livingston, TN 38570 | 2012-07-30 |
| 1497010623 | Shellnuts Aces Inc | Pharmacy | 1970 Bradford Hicks Dr, Ste B, Livingston, TN 38570 | 2012-07-13 |
| Find all providers in zip 38570 | ||||
| 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 |
|---|---|---|---|---|
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1275172975 | Community Health Centers of America | Pharmacy | 517 Main St Ste B, Livingston, CA 95334-1427 | 2019-12-27 |
| 1073175675 | Livingston Community Health | Pharmacy | 600 B St Ste B, Livingston, CA 95334-9593 | 2019-07-03 |
| 1679137319 | Walgreen Co | Pharmacy | 1501 W Church St Ste 500, Livingston, TX 77351-0056 | 2019-04-29 |
| 1538685458 | Thrift Town Drugs LLC | Pharmacy | 29680 S Frost Rd, Livingston, LA 70754 | 2017-08-22 |
| 1699010785 | Rx Team Inc | Pharmacy | 91 E Mount Pleasant Ave, Livingston, NJ 07039-3005 | 2012-11-30 |
| 1982838934 | Lopers Neighborhood Pharmacy Inc | Pharmacy | 1934 U S Highway 190 W, Livingston, TX 77351-9600 | 2009-05-06 |
| 1154599066 | Aleran Holdings LLC | Pharmacy | 365 E Northfield Rd, Livingston, NJ 07039-4810 | 2008-02-13 |
| 1083706550 | New Jersey Cvs Pharmacy LLC | Pharmacy | 184 S Livingston Ave Cedar Mall, Livingston, NJ 07039 | 2006-09-29 |
| 1306941927 | J & A Pharmacy Services LLC | Pharmacy | 365 E Northfield Road, Livingston, NJ 07039 | 2006-09-14 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 38570 |
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.