FREDS STORES OF TENNESSEE INC (NPI# 1902150030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902150030 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY #2726 |
| Practice Address |
250 E. Stratton Ave. Monterey TN 38574-1107 |
| Mailing Address |
6625 Lenox Park Blvd. Suite 200 Memphis TN 38115 |
| Practice Telephone | 9318392060 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | JOSEPH ANTO (CEO) |
| Authorized Official Telephone | 3478816323 |
| 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 |
| Other Name | Type Code |
|---|---|
| Freds Pharmacy #2726 | 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 |
250 E. STRATTON AVE. |
| City | MONTEREY |
| State | TN |
| Zip Code | 38574-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407012891 | Robert Crombie Hall | Ophthalmology | 1536 E. Overlook Rd., Monterey, TN 38574 | 2008-08-05 |
| 1164606356 | Manish Rana | Dentist | 400 West Crawford Avenue, Suite C, Montery Dental Center, Monterey, TN 38574 | 2007-12-24 |
| 1497877583 | Mark Anthony Sherfey | Internal Medicine | 4355 Hanging Lamb Hwy, Monterey, TN 38574 | 2007-04-06 |
| 1790814457 | Ree Rene Smith | Nurse Practitioner | 1021 East Commercial Avenue, Monterey, TN 38574 | 2007-03-05 |
| 1144217803 | Charles Gray Smith | Family Medicine | 400 W Crawford Ave, Monterey, TN 38574 | 2005-09-28 |
| 1265580815 | Bishop Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 101 W Commercial Ave, Monterey, TN 38574-1107 | 2007-01-08 |
| 1912996067 | Putnam County Rural Health Clinic, Inc | Clinic/Center | 117 W Commercial Ave, Monterey, TN 38574-1107 | 2005-10-20 |
| 1437525185 | Clifton Bishop | Pharmacist | 101 W Commercial Ave, Monterey, TN 38574-1107 | 2015-08-17 |
| 1902208903 | Live Well Medical Clinic & Spa | Clinic/Center | 117 W Commercial Ave, Monterey, TN 38574-1107 | 2014-09-22 |
| 1477863231 | Brenda Lee Mcintosh | Nurse Practitioner | 117 W Commercial Ave, Monterey, TN 38574-1107 | 2010-10-14 |
| Find all providers in zip 38574 | ||||
| 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 |
|---|---|---|---|---|
| 1598708380 | Longs Drug Stores California LLC | Pharmacy | 2170 Fremont St, Monterey, CA 93940-5213 | 2006-06-13 |
| 1598192395 | Ordway Pharmacy | Pharmacy | 499 Alvarado St, Monterey, CA 93940-2739 | 2013-10-11 |
| 1013014299 | Valabco Inc | Pharmacy | 499 Alvarado St, Monterey, CA 93940-2739 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
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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.