Freds Stores of Tennessee Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

03676/01.2 Issued in MS

Legal business name

FREDS STORES OF TENNESSEE INC

Doing business as

Freds Pharmacy 3648

Practice address

1221 E Union St
Greenville, MS 38703-3243

Phone

(662) 332-3600

NPI assigned

Nov 5, 2008

Last updated

Mar 16, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

FREDS INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ricky Chambers, PHARMD

Title

VP

Phone

(901) 238-2477

Specialties & licenses 2

Addresses

Other names 1

• Freds Pharmacy 3648 Doing business as

Locations (25 of 491)

Practitioners 326

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bettina J. Adams, PHARM.D.

  • Pharmacist
  • Jackson, MS
  • NPI 1588972004
  NPD (past)
• Stan Dewayne Adams, RPH

  • Pharmacist
  • Vancleave, MS
  • NPI 1205353158
  NPD (past)
• Regina A Alexander, PHARM D.

  • Pharmacist
  • Jackson, MS
  • NPI 1558679969
  NPD (past)
• Edwin Walter Amelung Jr.

  • Pharmacist
  • Cleveland, MS
  • NPI 1013225564
  NPD (past)
• Eddie L Armstrong, RPH

  • Pharmacist
  • Tupelo, MS
  • NPI 1457669426
  NPD (past)
• Susan Ashcraft, RPH

  • Pharmacist
  • Greenwood, MS
  • NPI 1710405600
  NPD (past)
• Charles Mitchell Barrett, RPH

  • Pharmacist
  • Booneville, MS
  • NPI 1235433939
  NPD (past)
• Samuel Ted Basil, PHARM. D.

  • Pharmacist
  • Tupelo, MS
  • NPI 1902323090
  NPD (past)
• Bill E Blalack, RPH

  • Pharmacist
  • Brookhaven, MS
  • NPI 1194034264
  NPD (past)
• Stephanie Brumfield

  • Pharmacist
  • Natchez, MS
  • NPI 1003334848
  NPD (past)
• William Patrick Bryson, RPH

  • Pharmacist
  • Bruce, MS
  • NPI 1275841744
  NPD (past)
• M Darlene Byram, RPH

  • Pharmacist
  • Tupelo, MS
  • NPI 1467760801
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1093969016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 NEW GETWELL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186801",
            "telephone_number": "901-238-2520",
            "fax_number": "901-365-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033243",
            "telephone_number": "662-332-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDS STORES OF TENNESSEE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDS INC",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "901-238-2477",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "03676/01.2",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "03676/01.2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freds Pharmacy 3648",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Perry Folk III, M.D.
• Terrell Forman
• Franklin Transit LLC
• Sandra E Franklin
• Terry Lynn Franklin, R.PH.
• Freds Stores of Tennessee Inc (Freds Pharmacy 3658)
• Freedom Behavioral Hospital of Greenville LLC
• Freelance Anesthesia Mississippi, LLC
• Fresenius Medical Care Greenville Home, LLC (Fresenius Kidney Care Greenville Home)
• Amanda Frison

• Community/Retail Pharmacy in Greenville, MS
• Providers in Greenville, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.