Freds Stores of Tennessee Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07374 Issued in KY

Legal business name

FREDS STORES OF TENNESSEE INC

Doing business as

Freds Pharmacy 1964

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

Last updated

Aug 15, 2011By 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 1964 Doing business as

Locations

Practitioners 2

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.

• Elbert Olin Jent Jr., RPH

  • Pharmacist
  • Cave City, KY
  • NPI 1912215468
  NPD (past)
• April Lee Stone

  • Pharmacist
  • Cave City, KY
  • NPI 1962767806
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1780913533",
    "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": "502 E HAPPY VALLEY ST",
            "city": "CAVE CITY",
            "state": "KY",
            "postal_code": "421278845",
            "telephone_number": "270-773-2101",
            "fax_number": "270-773-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDS STORES OF TENNESSEE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDS INC",
        "enumeration_date": "2009-12-08",
        "last_updated": "2011-08-15",
        "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": "KY",
            "license": "P07374",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freds Pharmacy 1964",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Parker Crews, M.D.
• Latichia Gail Cross, L.M.T.
• Cumberland Family Medical Center Inc (Caverna Elementary Health Kids Clinic)
• D.Chandra Reddy, MD. PSC
• Wendy Dawn Embry, MS, CCC-SLP
• Kimberly Gowen, AGNP
• Graves Gilbert Clinic PLLC (GGC Rural Health Clinic Cave City)
• James Parker Crews
• Elbert Olin Jent Jr., RPH
• Haley C Mallory, APRN

• Community/Retail Pharmacy in Cave City, KY
• Providers in Cave City, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.