FREDS STORES OF TENNESSEE INC (NPI# 1831121771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831121771 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 2431 |
| Practice Address |
304 Northside Dr Newton MS 39345-2378 |
| Mailing Address |
6625 Lenox Park Blvd. Suite 200 Memphis TN 38115 |
| Practice Telephone | 6016833391 |
| Practice Fax Number | 6016830604 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | 770011 | MS | Suppliers |
| N | 333600000X | Pharmacy | 770011 | MS | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
770011 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 4706395 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2521905 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 2431 | 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 |
304 NORTHSIDE DR |
| City | NEWTON |
| State | MS |
| Zip Code | 39345-2378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1750838330 | Newton Dme and Supply | Durable Medical Equipment & Medical Supplies | 909 Mlkjrdr, Newton, MS 39345 | 2016-09-01 |
| 1669743233 | Pioneer Health Services of Newton County, LLC | Clinic/Center | 9427 Eastside Drive Ext. Suite A, Newton, MS 39345 | 2012-01-13 |
| 1346435633 | Laticia Bickham | Counselor | 2901 Pine Bluff Rd, Newton, MS 39345 | 2007-09-10 |
| 1134262553 | Buren Steve Smith Jr. | Psychologist | 701 Northside Dr, Newton, MS 39345 | 2007-02-15 |
| 1982782694 | East Central Planning & Development District | Case Management | 280 Commercial Dr, Newton, MS 39345 | 2006-11-01 |
| 1013283829 | Vanessa Norman | Nurse Practitioner | 252 Northside Dr, Newton, MS 39345 | 2012-03-26 |
| 1669612198 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345 | 2009-02-24 |
| 1063667939 | Newton Hospital, Inc | General Acute Care Hospital | 9421 Eastside Drive Extention, Newton, MS 39345 | 2008-11-19 |
| 1629143136 | Pioneer Health Services of Newton County, LLC | Psychiatric Unit | 9421 Eastside Drive Extention, Newton, MS 39345 | 2006-11-21 |
| Find all providers in zip 39345 | ||||
| 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 |
|---|---|---|---|---|
| 1164038485 | Quinn's Family Pharmacy of Newton | Pharmacy | 193 Northside Dr, Newton, MS 39345-9523 | 2020-09-22 |
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1154848273 | Grx Holdings, LLC | Pharmacy | 400 1st Ave. W, Newton, IA 50208 | 2017-08-29 |
| 1366876005 | Rogers Fox Group Inc | Pharmacy | 416 Watertown St, Newton, MA 02458-1121 | 2013-08-29 |
| 1043533748 | Walgreen Co | Pharmacy | 126 Water St, Newton, NJ 07860 | 2010-03-09 |
| 1497894034 | Ronetco Supermarket Inc | Pharmacy | Route 206, Newton, NJ 07860 | 2007-02-06 |
| 1477656155 | North Carolina Cvs Pharmacy LLC | Pharmacy | 36 Northwest Blvd, Newton, NC 28658-3900 | 2006-09-07 |
| 1750496782 | Ladonna Poehler LLC | Pharmacy | 600 W Jourdan St, Newton, IL 62448-1056 | 2006-08-20 |
| 1023054020 | Hy Vee Inc | Pharmacy | 1207 1st Ave E, Newton, IA 50208-4002 | 2006-06-20 |
| 1043830086 | Apotheco Pharmacy Newton LLC | Pharmacy | 71 Needham St, Newton, MA 02461-1663 | 2020-04-20 |
| Find all providers in NEWTON | ||||
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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.