FREDS PHARMACY 1054
NPI 1194887372
Pharmacy - Community/Retail Pharmacy in Rome, GA

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

The NPI number for Freds Stores Of Tennessee Inc is 1194887372. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Freds Pharmacy 1054.

Q: 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.

Active since December 14, 2006

4111 MARTHA BERRY HWY NW, ROME, GA 30165(706) 378-8073(706) 378-8076 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Freds Pharmacy 1054 NPPES

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

FREDS PHARMACY 1054 (NPI 1194887372) is a healthcare organization registered as a community/retail pharmacy in Rome, Georgia and active in the NPI registry since December 2006. The organization lists Ricky Chambers, Vp, as its authorized official.

NPPES Registry Identity

NPI1194887372

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameFREDS STORES OF TENNESSEE INC

Location Address4111 MARTHA BERRY HWY NWRome, GA 30165-7705

Mailing Address4300 New Getwell RdMemphis, TN 38118-6801 · (901) 238-2520 · Fax (901) 365-9820

Phone(706) 378-8073

Fax(706) 378-8076

Organization SubpartYesParent: Freds Inc

Authorized OfficialRicky ChambersVp · (901) 238-2477

Enumeration DateDecember 14, 2006

Last NPPES UpdateJanuary 11, 2008

✔ NPI 1194887372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in GA · PHR009104

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.

4111 MARTHA BERRY HWY NW, Rome, GA 30165

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Other Names 1

Doing Business AsFreds Pharmacy 1054

Other Identifiers 2

Other1154905Ncpdp

Medicare NSC0537670312

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 1194887372. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Freds Pharmacy 1054.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 4111 Martha Berry Hwy NW, Rome, GA 30165. The listed phone number is (706) 378-8073.

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 January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.