Freds Stores of Tennessee Inc
Organization Active NPI Community/Retail Pharmacy · Hartford, KY
NPI 1528367182 · NPPES record last updated Aug 2, 2013
Key facts
- NPI
- 1528367182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- FREDS STORES OF TENNESSEE INC
- Practice address
- 1135 US Highway 231 S.
Hartford, KY 42347-1872 - Phone
- (334) 493-4541
- NPI assigned
- Mar 22, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- FREDS INC
Authorized official
- Name
- Dr. Ricky Chambers, PHARMD
- Title
- VP
- Phone
- (901) 238-2477
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P07444 | KY | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1135 US Highway 231 S.
Hartford, KY 42347-1872
Mailing address
4300 New Getwell Rd
Memphis, TN 38118-6801
Phone (901) 238-2520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100157950 | Medicaid | KY |
Other names
- Freds Pharmacy 2086
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All providers in Hartford, 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 Aug 2, 2013. 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.