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FREDS STORES OF TENNESSEE INC NPI 1588696512


NPI Information

NPI: 1588696512
Provider Name: FREDS STORES OF TENNESSEE INC

Doing Business As: FREDS PHARMACY 1531

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
440 S BRADLEY AVE
EL DORADO, AR
ZIP 71730
Phone: (870) 863-4157
Get Directions

FREDS STORES OF TENNESSEE INC is a community/retail pharmacy pharmacy in El Dorado, 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 1588696512. The provider is registered as an organization entity type.
The provider Is Doing Business As Freds Pharmacy 1531.

The provider's business location address is:

440 S BRADLEY AVE
EL DORADO, AR
ZIP 71730-520
Phone: (870) 863-4157
Fax: (870) 863-3039

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 7/7/2006 and was last updated on 1/5/2010.


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
1333600000XPharmacy20339ARKANSASNo
23336C0003XPharmacyCommunity/Retail Pharmacy20339ARKANSASYes

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
10421583OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2179686716OTHERARKANSASDME
3148212407MEDICAIDARKANSAS
410634MEDICARE PINARKANSAS
50537670250MEDICARE NSC

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.