FRED'S PHARMACY 2484
NPI 1003848045
Pharmacy - Community/Retail Pharmacy in Marion, IL

Active since July 07, 2006
905 WEST MAIN STREET, MARION, IL 62959(618) 998-1269 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fred's Pharmacy 2484 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED'S PHARMACY 2484 (NPI 1003848045) is a healthcare organization registered as a community/retail pharmacy in Marion, Illinois and active in the NPI registry since July 2006. The organization lists Ricky Chambers, Vp, as its authorized official.

NPPES Registry Identity

NPI1003848045
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address905 WEST MAIN STREETMarion, IL 62959-1998
Mailing Address4300 New Getwell RdMemphis, TN 38118-6801 · (901) 238-2520 · Fax (901) 365-9820
Organization SubpartYesParent: Freds Inc
Authorized OfficialRicky ChambersVp · (901) 238-2477
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 5, 2012
NPI 1003848045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in IL · 54015486
Definition
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.
Also ListedPharmacyTaxonomy 333600000X · License 54015486 (IL)
905 WEST MAIN STREET, Marion, IL 62959

Other Names 1

Doing Business AsFred's Pharmacy 2484

Other Identifiers 3

Medicare NSC0537670283
Medicare PINIL7573IL
Other1477935Other Id Number-commercial Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freds Stores Of Tennessee Inc's NPI number?

The NPI number for Freds Stores Of Tennessee Inc is 1003848045. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Fred's Pharmacy 2484.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 905 West Main Street, Marion, IL 62959. The listed phone number is (618) 998-1269.

What is Freds Stores Of Tennessee Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Freds Stores Of Tennessee Inc was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.