FREDS STORES OF TENNESSEE INC (NPI# 1891061156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891061156 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | C & G PHARMACY3901 |
| Practice Address |
9311 Jefferson Hwy River Ridge LA 70123-2805 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 5047382277 |
| Practice Fax Number | 5047382281 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | RICK CHAMBERS (VICE PRESIDENT) |
| Authorized Official Telephone | 9012382477 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDS INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2201531 | 05 |
| Other Name | Type Code |
|---|---|
| C & G Pharmacy3901 | 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 |
9311 JEFFERSON HWY |
| City | RIVER RIDGE |
| State | LA |
| Zip Code | 70123-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194810101 | Barrera Boudreaux & Castellon Inc | Pharmacy | 9311 Jefferson Hwy, River Ridge, LA 70123 | 2006-10-04 |
| 1730502295 | Robin M Albert | Pharmacist | 9311 Jefferson Hwy, River Ridge, LA 70123-2805 | 2014-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780327 | Cerner Health Connections, Inc | Pharmacy | The Laitram Pharmacy, 5307 Toler St, Harahan, LA 70123 | 2020-01-29 |
| 1184111270 | Option Care Enterprises, Inc. | Pharmacy | 524 Elmwood Park Blvd Ste 120, Elmwood, LA 70123 | 2018-04-16 |
| 1740703214 | Rebekah Murray Dykes | Physician Assistant | 9605 Jefferson Hwy Ste G, River Ridge, LA 70123 | 2017-07-17 |
| 1710420260 | Cindy M Tregre | Counselor | 1529 River Oaks Rd W Ste 121, New Orleans, LA 70123 | 2016-11-30 |
| 1184098725 | Tiffany Marie Banye | Case Manager/Care Coordinator | 5341 Citrus Blvd Apt L272, River Ridge, LA 70123 | 2015-11-19 |
| 1003290123 | Phoebe Rae Plaisance | Student in an Organized Health Care Education/Training Program | 1336 Hickory Ave., Apt. C, Harahan, LA 70123 | 2015-07-18 |
| 1255711495 | Chris Dysart | Physical Therapist | 1827 Hickory Ave Ste B, Harahan, LA 70123 | 2015-06-03 |
| 1184043275 | Joanna Cross-call Buckingham | Pediatrics | 9605 Jefferson Highway, River Ridge, LA 70123 | 2014-04-16 |
| 1972927259 | Cassandra Williams | Chiropractor | 844 S Clearview Pkwy Apt 209, River Ridge, LA 70123 | 2014-02-07 |
| 1770906182 | Amber Bloom | Chiropractor | 9045 Jefferson Highway, River Ridge, LA 70123 | 2014-01-22 |
| Find all providers in zip 70123 | ||||
| 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 |
|---|---|---|---|---|
| 1679677504 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 9643 Jefferson Hwy # B, River Ridge, LA 70123-2509 | 2006-09-12 |
| 1225043482 | Walgreen Co | Pharmacy | 9705 Jefferson Hwy, River Ridge, LA 70123-2511 | 2006-07-29 |
| 1578584850 | Winn Dixie Stores Inc | Pharmacy | 8601 Jefferson Hwy, River Ridge, LA 70123-3510 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568054 | Chris Pharmacy of Gonzalez LLC | Pharmacy | 14505 Highway 44 Ste 112, Gonzales, LA 70737-7195 | 2020-11-02 |
| 1639779788 | Harvey Lee Smith Jr. | Pharmacy | 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 | 2020-10-28 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1093321812 | Community Pharmacy of Sterlington | Pharmacy | 200 Scott Dr, Sterlington, LA 71280 | 2020-09-17 |
| 1386256121 | Lagniappe Pharmacy 7, LLC | Pharmacy | 1900 Saint Charles Ave, New Orleans, LA 70130-5317 | 2020-08-22 |
| 1740890144 | Downtown Drugs Inc | Pharmacy | 338 N Vermont St, Covington, LA 70433-2812 | 2020-07-31 |
| 1053929703 | Viallon Drug Co of Donaldsonville | Pharmacy | 309 Marchand Dr, Donaldsonville, LA 70346-3242 | 2020-07-20 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1417573593 | Doc Your Dose Pharmacy, LLC | Pharmacy | 17275 Hwy 77, Gross Tete, LA 70740 | 2020-06-24 |
| 1942829247 | Good Vibe Ventures LLC | Pharmacy | 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | RIVER RIDGE |
| Zip Code | 70123 |
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.