|Provider Name||FREDS PHARMACY 2236 (FREDS STORES OF TENNESSEE INC)|
|Provider Location Address||1002 HWY 65 N MARSHALL, AR 72650|
|Provider Mailing Address||4300 NEW GETWELL RD MEMPHIS, TN 38118|
|NPI Entity Type||Organization|
|Is Sole Proprietor?||N/A|
|Is Organization Subpart?||Yes|
|Other Organization Name||FREDS PHARMACY 2236|
|Other Name Type||Doing Business As (3)|
|Last Update Date||01-05-2010|
FREDS PHARMACY 2236
1002 HWY 65 N
Phone: (870) 448-3841
Fax: (870) 448-3852
FREDS PHARMACY 2236
4300 NEW GETWELL RD
Phone: (901) 238-2520
Fax: (901) 365-9820
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
|No.||Taxonomy Code||Type||Classification||Specialization||License No.||State||Primary|
Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
|Identifier||Type / Code||Identifier State|
|0537670233||MEDICARE NSC (07)|
|10634||MEDICARE PIN (08)||AR|
Other Providers at the same location
The following provider is registered at the same or nearby location.
|NPI||Name / Type||Taxonomy||Address|
|1376853135|| LEA ANN T LOWRANCE RPH |
|Pharmacist||1002 HWY 65 N |
MARSHALL, AR 72650
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.