FREDS STORES OF TENNESSEE INC (NPI# 1922025493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922025493 |
| Entity Type | Organization |
| Organization Name | FREDS STORES OF TENNESSEE INC |
| Other Organization Name | FREDS PHARMACY 2469 |
| Practice Address |
7122 Will Robbins Hwy Nettleton MS 38858 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 6629632856 |
| Practice Fax Number | 6629632853 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-12-04 |
| 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 | 333600000X | Pharmacy | 473011 | MS | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
473011 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04173272 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2521688 | 01 |
| Other Name | Type Code |
|---|---|
| FREDS Pharmacy 2469 | 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 |
7122 WILL ROBBINS HWY |
| City | NETTLETON |
| State | MS |
| Zip Code | 38858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134646904 | Audra Wright | Pharmacist | 7122 Will Robbins Hwy, Nettleton, MS 38858-5918 | 2017-08-23 |
| 1356973804 | Home Town Market | Pharmacy | 7122 Will Robbins Hwy, Nettleton, MS 38858-5918 | 2020-02-12 |
| 1396377198 | Garry M Mcferrin | Pharmacist | 7122 Will Robbins Hwy, Nettleton, MS 38858-5918 | 2020-02-10 |
| 1053838029 | Thomas Andrew Spradling | Pharmacist | 7122 Will Robbins Hwy, Nettleton, MS 38858-5918 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518500677 | Nettleton Medical Express Care LLC | General Practice | 7230 Highway 45 N Ste B, 32610 Hwy 45 N, Nettleton, MS 38858 | 2019-10-22 |
| 1467930537 | Michael Anthony Mcbryde | Physical Therapist | 230 Main St., Suite A, Nettleton, MS 38858 | 2018-08-01 |
| 1952813677 | Raquel Ziegler | Physical Therapist | 230-a Main St., Nettleton, MS 38858 | 2017-11-03 |
| 1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
| 1902925340 | John T Hall | Pharmacist | 174a Young Ave, Nettleton, MS 38858 | 2007-03-28 |
| 1063463677 | Sally Lawson Morgan | Nurse Practitioner | 182 W Main St, Nettleton, MS 38858 | 2006-05-16 |
| 1174591044 | Deborra Cassandra Lee | Counselor | 134 Morgan Circle, Nettleton, MS 38858 | 2006-03-08 |
| 1215913074 | Cynthia J Rushing | Nurse Practitioner | 4929 Hwy 351 S, Nettleton, MS 38858 | 2005-12-22 |
| 1295972644 | W. A. Thames, Dmd | Dentist | 228 Main Street, Box 388, Nettleton, MS 38858 | 2009-01-07 |
| 1386868719 | Nettleton Family Clinic | Family Medicine | 182 West Main St, Nettleton, MS 38858 | 2007-04-13 |
| Find all providers in zip 38858 | ||||
| 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 |
|---|---|---|---|---|
| 1952962755 | Sonshine Pharmacy, LLC | Pharmacy | 7230 Highway 45 N, Nettleton, MS 38858-9399 | 2019-06-24 |
| 1285856740 | Mcduffie Drug Co. | Pharmacy | 174 A Young Ave., Nettleton, MS 38858-0389 | 2007-05-03 |
| 1356973804 | Home Town Market | Pharmacy | 7122 Will Robbins Hwy, Nettleton, MS 38858-5918 | 2020-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038485 | Quinn's Family Pharmacy of Newton | Pharmacy | 193 Northside Dr, Newton, MS 39345-9523 | 2020-09-22 |
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1649883844 | Natchez Wellness Pharmacy | Pharmacy | 29 Sergeant Prentiss Dr Ste 5, Natchez, MS 39120-4743 | 2020-08-26 |
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1114566122 | Valley Drugs, Inc. | Pharmacy | 327b S Main St, Water Valley, MS 38965-3318 | 2019-12-23 |
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
| 1518501592 | Southwest Pharmacy Inc | Pharmacy | 3000 Plaza Dr Ste B, Tylertown, MS 39667-9227 | 2019-11-01 |
| 1669015210 | Hometown Family Pharmacy, Inc. | Pharmacy | 930 Hall St Ste H, Wiggins, MS 39577-2113 | 2019-10-25 |
| 1225671001 | A & A Infusion & Specialty, LLC | Pharmacy | 124 E Jackson St, Belzoni, MS 39038-3642 | 2019-10-23 |
| 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.