FREDS PHARMACY 2791 – NPI #1366474397
Pharmacy

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 PHARMACY 2791 is a pharmacy located in RUSSELLVILLE, AL. NPPES has assigned the NPI number 1366474397 to FREDS PHARMACY 2791 on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FREDS PHARMACY 2791” is a dba name, the actual legal business name for this organization is FREDS STORES OF TENNESSEE INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 18 years ago on Jan 11, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FREDS PHARMACY 2791 below.

NPI Profile for
FREDS STORES OF TENNESSEE INC

NPI Number
1366474397
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FREDS STORES OF TENNESSEE INC
Doing Business As (dba): FREDS PHARMACY 2791
Primary location
13150 HIGHWAY 43
RUSSELLVILLE, AL 35653-4558
Phone: (256) 331-5031 Fax: (256) 331-9390
Mailing address
4300 NEW GETWELL RD
MEMPHIS, TN 38118-6801
Phone: (901) 238-2520 Fax: (901) 365-9820
Organization Subpart
Yes - FREDS PHARMACY 2791 is subpart of another organization.
Authorized Official
RICKY CHAMBERS
VP
Phone: (901) 238-2477
Updated
Identifiers

Identifiers for FREDS PHARMACY 2791

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEROTHER ID NUMBER-COMMERCIAL NUMBER0132744
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
AL 112575
333600000X
- Pharmacy
AL 112575

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.