Freds Stores of Tennessee Inc
Organization Active NPI Community/Retail Pharmacy · Burkesville, KY
NPI 1346267804 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1346267804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- FREDS STORES OF TENNESSEE INC
- Practice address
- 260 Keen Street
Burkesville, KY 42717 - Phone
- (270) 864-1772
- Fax
- (270) 864-5981
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Alex Knight
- Title
- Dir of Third Party Operations
- Phone
- (901) 238-3625
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Freds Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | P06773 | KY | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
260 Keen Street
Burkesville, KY 42717
Mailing address
260 Keen Street
Burkesville, KY 42717
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1827356 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 54003546 | Medicaid | KY |
Other names
- FREDS PHARMACY
Other providers in Burkesville, KY
- Family Home Health Care Inc
- Joseph A Flannagan
- Rachel Lynn Flannagan
- Robert Flowers
- Robert Lynn Flowers Jr.
- Cari Lee Gaddie
- Lisa Harper
- Nikki Michelle Harris
- Tonda R Helton
- Laura E Hill
All providers in Burkesville, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.