Freds Stores of Tennessee Inc
Organization Active NPI Community/Retail Pharmacy · Cave City, KY
NPI 1780913533 · NPPES record last updated Aug 15, 2011
Key facts
- NPI
- 1780913533
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P07374 (KY)
- Legal business name
- FREDS STORES OF TENNESSEE INC
- Practice address
- 502 E Happy Valley St
Cave City, KY 42127-8845 - Phone
- (270) 773-2101
- Fax
- (270) 773-2104
- NPI assigned
- Dec 8, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- FREDS INC
Authorized official
- Name
- Ricky Chambers, PHARMD
- Title
- VP
- Phone
- (901) 238-2477
Practitioners 2
-
Elbert Olin Jent Jr., RPH
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P07374 | KY | |
| Community/Retail Pharmacy | 3336C0003X | P07374 | KY | Yes |
Addresses
Primary practice location
502 E Happy Valley St
Cave City, KY 42127-8845
Mailing address
4300 New Getwell Rd
Memphis, TN 38118-6801
Phone (901) 238-2520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100107270 | Medicaid | KY |
Other names
- Freds Pharmacy 1964
Other providers in Cave City, KY
- James Parker Crews
- Latichia Gail Cross
- Cumberland Family Medical Center Inc
- D.Chandra Reddy, MD. PSC
- Wendy Dawn Embry
- Kimberly Gowen
- Graves Gilbert Clinic PLLC
- James Parker Crews
- Elbert Olin Jent Jr.
- Haley C Mallory
All providers in Cave City, 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 15, 2011. 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.