FREDS STORES OF TENNESSEE INC (NPI# 1891727731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891727731 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 2556 |
| Practice Address |
850 Volunteer Dr Paris TN 38242-5472 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 7316420321 |
| Practice Fax Number | 7316429960 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-09-18 |
| 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 | C1064 | TN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
C1064 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4430930 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS PHARMACY 2556 | 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 |
850 VOLUNTEER DR |
| City | PARIS |
| State | TN |
| Zip Code | 38242-5472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144538612 | Terry M Carter | Pharmacist | 850 Volunteer Dr, Paris, TN 38242-5472 | 2010-09-18 |
| 1174041388 | Katie Bri-anne Drummond | Pharmacist | 850 Volunteer Dr, Paris, TN 38242-5472 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1255960134 | Alexander P Patrone | Student in an Organized Health Care Education/Training Program | 302b Tyson Ave, Paris, TN 38242 | 2020-04-03 |
| 1457980302 | Aswathy Krishnakumar | Student in an Organized Health Care Education/Training Program | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-03 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1588199152 | Taylor Wilson | Dentist | 3485 Highway 79 N, Paris, TN 38242 | 2017-04-20 |
| 1215472592 | Elizabeth Lane Mcintosh | Behavioral Analyst | 28 Fieldstone Dr, Paris, TN 38242 | 2016-12-22 |
| 1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
| 1942601539 | Trustworthy Anesthesia Care | Nurse Anesthetist, Certified Registered | 1010 Green Hill Dr, Paris, TN 38242 | 2014-09-15 |
| 1083963946 | West Tennessee Physical Medicine, Pllc | General Practice | 1024 Mineral Wells Avenue, Paris, TN 38242 | 2012-09-06 |
| 1316242514 | Henry Co. Health Dept. | Skilled Nursing Facility | 803 Joy St., Paris, TN 38242 | 2011-01-19 |
| Find all providers in zip 38242 | ||||
| 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 |
|---|---|---|---|---|
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1194069807 | Paris Pharmacy LLC | Pharmacy | 1025 Mineral Wells Ave, Suite B, Paris, TN 38242-4947 | 2012-11-19 |
| 1326142274 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 101 Lacy Ln, Paris, KY 40361-1062 | 2006-09-12 |
| 1780051219 | Medi-quik Discount Pharmacy #3,inc | Pharmacy | 406 E Walnut St, Paris, AR 72855-3920 | 2015-09-01 |
| 1245635499 | Wpm Community Pharmacies, LLC | Pharmacy | 1211 E Walnut St, Paris, AR 72855-4125 | 2014-10-30 |
| 1104184332 | Wpm Community Pharmacies LLC | Pharmacy | 508 E Walnut St, Paris, AR 72855-4019 | 2012-04-25 |
| 1114291507 | Arkansas Family Pharmacies Inc. | Pharmacy | 1211 E Walnut St, Paris, AR 72855-4125 | 2012-03-01 |
| 1588932578 | Paris Family Pharmay | Pharmacy | 1211 E Walnut St, Paris, AR 72855-4125 | 2011-12-06 |
| 1023121373 | Omni Health Corp | Pharmacy | 234 Tyson Ave, Paris, TN 38242-5853 | 2006-08-17 |
| 1346285046 | Hornes Ardery Drug Store | Pharmacy | 630 Main St, Paris, KY 40361-1817 | 2006-06-17 |
| Find all providers in PARIS | ||||
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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.