Freds Stores of Tennessee Inc
Organization Active NPI Community/Retail Pharmacy · Hopkinsville, KY
NPI 1821020868 · NPPES record last updated Nov 27, 2007
Key facts
- NPI
- 1821020868
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P06326 (KY)
- Legal business name
- FREDS STORES OF TENNESSEE INC
- Practice address
- 3129 Canton Pike Indian Hills S/C
Hopkinsville, KY 42240 - Phone
- (270) 886-6345
- Fax
- (270) 885-1674
- NPI assigned
- Jul 7, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- FREDS INC
Authorized official
- Name
- Ricky Chambers, PHARMD
- Title
- VP
- Phone
- (901) 238-2477
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Freds Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | P06326 | KY | |
| Community/Retail Pharmacy | 3336C0003X | P06326 | KY | Yes |
Addresses
Primary practice location
3129 Canton Pike Indian Hills S/C
Hopkinsville, KY 42240
Mailing address
4300 New Getwell Rd
Memphis, TN 38118-6801
Phone (901) 238-2520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1824843 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 54033121 | Medicaid | KY |
Other names
- FREDS PHARMACY 1856
Other providers in Hopkinsville, KY
- Anthony R France
- Timothy France
- Anitra La'Trice Francis
- Banica Francis
- Susan Frazier
- Fresenius Medical Care Hopkinsville, LLC
- Fresenius Medical Care Hopkinsville, LLC
- Samantha Frye
- Shakeira Frye
- Kecia Fulcher
All providers in Hopkinsville, 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 Nov 27, 2007. 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.