FRED'S STORES OF TENNESSEE INC (NPI# 1972901189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972901189 |
| Entity Type | Organization |
| Organization Name | FRED'S STORES OF TENNESSEE INC |
| Other Organization Name | FRED'S PHARMACY 2886 |
| Practice Address |
1117 Lincoln Park Rd Springfield KY 40069 |
| Mailing Address |
4300 New Getwell Rd Memphis TN 38118-6801 |
| Practice Telephone | 8593367071 |
| Practice Fax Number | 8593363173 |
| Mailing Telephone | 9012382520 |
| Mailing Fax Number | 9013659820 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | RICK CHAMBERS (VICE PRESIDENT) |
| Authorized Official Telephone | 9012382477 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRED'S 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 |
|---|---|---|---|
| KY | 7100327870 | 05 |
| Other Name | Type Code |
|---|---|
| Fred's Pharmacy 2886 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356718050 | Fred's Stores of Tennessee Inc | Pharmacy | 978 Ga Highway 46 E., Metter, GA 30439 | 2015-08-28 |
| 1306368352 | Fred's Stores of Tennessee Inc | Pharmacy | 13907 High Rd, Mabelvale, AR 72103-3212 | 2017-07-12 |
| 1710364344 | Fred's Stores of Tennessee Inc | Pharmacy | 702 W Highway 25 70, Newport, TN 37821-9020 | 2015-05-04 |
| 1043609266 | Fred's Stores of Tennessee Inc | Pharmacy | 13092 N Main St, Somerville, TN 38068-1421 | 2015-01-12 |
| Street Address |
1117 LINCOLN PARK RD |
| City | SPRINGFIELD |
| State | KY |
| Zip Code | 40069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730455346 | Christina Nicole Saunier | Speech-Language Pathologist | 716 East Grundy Ave, Springfield, KY 40069 | 2012-03-28 |
| 1912157207 | Allison Brooke Ballard | Social Worker | 2373 Lincoln Park Rd, Springfield, KY 40069 | 2008-09-24 |
| 1497737001 | Lincoln Trail District Health Dept | Public Health or Welfare | 302 E Main St, Springfield, KY 40069 | 2005-11-18 |
| 1497267637 | Jonathon Lee Ennis | Physician Assistant | 805 Bardstown Rd, Springfield, KY 40069 | 2017-10-27 |
| 1619496395 | Family Wellcare Clinic, Pllc | Internal Medicine | 805 Bardstown Rd Ste 12, Springfield, KY 40069 | 2017-09-14 |
| 1750562690 | Washington County Schools | Local Education Agency (LEA) | 120 Mackville Hl, Springfield, KY 40069-1013 | 2007-11-20 |
| 1912028309 | Colette M Hill | Massage Therapist | 114 S Walnut St, Springfield, KY 40069-1104 | 2007-04-03 |
| 1083751424 | Communicare Inc | Community/Behavioral Health | 324 E Main St, Springfield, KY 40069-1127 | 2007-02-01 |
| 1639654809 | Bardstown Primary Care, Pllc | Clinic/Center | 102 W Depot St, Springfield, KY 40069-1159 | 2018-10-03 |
| 1376617837 | Extendicare Homes, Inc. | Skilled Nursing Facility | 420 E Grundy Ave, Springfield, KY 40069-1173 | 2006-11-17 |
| Find all providers in zip 40069 | ||||
| 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 |
|---|---|---|---|---|
| 1386205524 | Quinate Pharmacy LLC | Pharmacy | 1569 Ga Highway 21 S, Springfield, GA 31329-5214 | 2019-06-27 |
| 1295209443 | St Johns Hospital of The Hospital Sisters of The Third Order of St F | Pharmacy | 400 N 9th St Ste 1500, Springfield, IL 62702-5310 | 2019-01-21 |
| 1770093122 | Genoa Healthcare, LLC | Pharmacy | 417 Liberty St Ste 1b, Springfield, MA 01104-3739 | 2017-10-11 |
| 1316483266 | Springfield Clinic, LLP | Pharmacy | 900 N 1st St Rm 4066, Springfield, IL 62702-3749 | 2017-01-17 |
| 1194277681 | Grove Professional Pharmacy, Inc | Pharmacy | 1636 S Glenstone Ave Ste 108, Springfield, MO 65804-1512 | 2016-10-31 |
| 1962852012 | Main Sail Enterprises South LLC | Pharmacy | 222 E Primrose St Ste B, Springfield, MO 65807-5233 | 2016-06-20 |
| 1588042816 | Main Sail Enterprises-downtown LLC | Pharmacy | 655 S Campbell Ave, Springfield, MO 65806-2901 | 2015-05-06 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1932529716 | Walgreen Co | Pharmacy | 440 E Tampa St Ste 100, Springfield, MO 65806-1131 | 2014-04-21 |
| 1891113973 | Hy Vee Inc | Pharmacy | 2115 S Macarthur Blvd, Springfield, IL 62704-4501 | 2014-04-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 40069 |
Please comment or provide details below to improve the information on FRED'S 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.