FREDS PHARMACY 2784
NPI 1043441678
Pharmacy - Community/Retail Pharmacy in Roebuck, SC

Active since July 30, 2009
1876 E BLACKSTOCK RD, ROEBUCK, SC 29376(864) 574-8323(864) 574-9147 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Freds Pharmacy 2784 NPPES

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

FREDS PHARMACY 2784 (NPI 1043441678) is a healthcare organization registered as a community/retail pharmacy in Roebuck, South Carolina and active in the NPI registry since July 2009. The organization lists Ricky Chambers, Vp, as its authorized official.

NPPES Registry Identity

NPI1043441678
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address1876 E BLACKSTOCK RDRoebuck, SC 29376-2700
Mailing Address4300 New Getwell RdMemphis, TN 38118-6801 · (901) 238-2520 · Fax (901) 365-9820
Fax(864) 574-9147
Organization SubpartYesParent: Freds Inc
Authorized OfficialRicky ChambersVp · (901) 238-2477
Enumeration DateJuly 30, 2009
Last NPPES UpdateAugust 9, 2011
NPI 1043441678 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 SC · 10550
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 10550 (SC)
1876 E BLACKSTOCK RD, Roebuck, SC 29376

Other Names 1

Doing Business AsFreds Pharmacy 2784

Other Identifiers 5

OtherDE3393SC · Medicaid Dme
Medicare NSC0537670346
Medicare PINQ356640001SC
Other4229096Ncpdp
Medicaid71055DSC

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1876 E BLACKSTOCK RD
ROEBUCK, SC 29376
Pharmacist
1876 E BLACKSTOCK RD
ROEBUCK, SC 29376
Pharmacist
1876 E BLACKSTOCK RD
ROEBUCK, SC 29376

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 1043441678. It was assigned to this organization in the NPPES registry on July 30, 2009. The provider is doing business as Freds Pharmacy 2784.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 1876 E Blackstock Rd, Roebuck, SC 29376. The listed phone number is (864) 574-8323.

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 August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.