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FREDS STORES OF TENNESSEE INC NPI 1164450144


NPI Information

NPI: 1164450144
Provider Name: FREDS STORES OF TENNESSEE INC

Doing Business As: FREDS PHARMACY 1896

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
535 N HERVEY ST
HOPE, AR
ZIP 71801
Phone: (870) 777-1402
Get Directions

FREDS STORES OF TENNESSEE INC is a community/retail pharmacy pharmacy in Hope, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FREDS STORES OF TENNESSEE INC NPI is 1164450144. The provider is registered as an organization entity type.
The provider Is Doing Business As Freds Pharmacy 1896.

The provider's business location address is:

535 N HERVEY ST
HOPE, AR
ZIP 71801-435
Phone: (870) 777-1402
Fax: (870) 777-0743

The provider's authorized official is Ricky Chambers .
The authorized official title is Vp and has the following contact phone number (901) 238-2477.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 3/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy417469ARKANSASNo
23336C0003XPharmacyCommunity/Retail Pharmacy417469ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10417469OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
20537670135MEDICARE NSC
310634MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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