FREDS STORES OF TENNESSEE INC NPI 1023040052

NPI Information

  • NPI: 1023040052
  • Provider Name: FREDS STORES OF TENNESSEE INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: FREDS PHARMACY 1191
  • Address: 3209 HARRISON ST
    BATESVILLE, AR
    ZIP 72501
  • Phone: (870) 793-8310

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NPI Details

FREDS STORES OF TENNESSEE INC is a community/retail pharmacy pharmacy in Batesville, 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 1023040052. The provider is registered as an organization entity type.
The provider Is Doing Business As Freds Pharmacy 1191.

The provider's business location address is:

3209 HARRISON ST
BATESVILLE, AR
ZIP 72501-518
Phone: (870) 793-8310
Fax: (870) 793-8129

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 11/27/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy20393ARKANSASNo
23336C0003XPharmacyCommunity/Retail Pharmacy20393ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10422054OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
20537670270MEDICARE 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: 3/30/2025

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