FREDS XPRESS 3936
NPI 1194757138
Pharmacy - Community/Retail Pharmacy in West Frankfort, IL

NPI Status: Active since July 07, 2006

Contact Information

502 W SAINT LOUIS ST
WEST FRANKFORT, IL
ZIP 62896
Phone: (618) 932-3011
Fax: (618) 932-8401

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About FREDS XPRESS 3936

This page provides the complete NPI Profile along with additional information for Freds Xpress 3936, a provider established in West Frankfort, Illinois operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1194757138 assigned on July 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 54014937 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Freds Xpress 3936. The authorized official of this NPI record is Ricky Chambers Pharmd (Vp)

NPI
1194757138
Provider Legal Name
FREDS STORES OF TENNESSEE INC
Other Organization Name
FREDS XPRESS 3936
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
502 W SAINT LOUIS ST WEST FRANKFORT, IL 62896
Location Phone
(618) 932-3011
Location Fax
(618) 932-8401
Mailing Address
4300 NEW GETWELL RD MEMPHIS, TN 38118
Mailing Phone
(901) 238-2520
Mailing Fax
(618) 932-8401
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-07-2006
Last Update Date
11-05-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
54014937
License State
IL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

54014937 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICKY CHAMBERS PHARMD

Authorized Official Title
VP
Authorized Official Phone
(901) 238-2477

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========004MEDICAID (05)IL 
0537670216MEDICARE NSC (07) 
1475816OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER
IL7573MEDICARE PIN (08)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194757138, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 4 + 5 + 1 + 4 + 1 + 6 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1194757138.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Physical Therapy)
502 W SAINT LOUIS ST, STE 3
WEST FRANKFORT, IL 62896
Physical Therapist
502 W SAINT LOUIS ST, SUITE 5
WEST FRANKFORT, IL 62896
Physical Therapist
502 W SAINT LOUIS ST
WEST FRANKFORT, IL 62896

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194757138, enumerated as an "organization" on July 07, 2006.

The provider is located at 502 W SAINT LOUIS ST WEST FRANKFORT, IL 62896 and the phone number is (618) 932-3011.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.