FREDS PHARMACY 3774
NPI 1255609871
Pharmacy - Community/Retail Pharmacy in Hardeeville, SC

NPI Status: Active since December 09, 2011

Contact Information

21361 WHYTE HARDEE BLVD.
HARDEEVILLE, SC
ZIP 29927
Phone: (843) 784-6222
Fax: (843) 784-6223

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About FREDS PHARMACY 3774

This page provides the complete NPI Profile along with additional information for Freds Pharmacy 3774, a provider established in Hardeeville, South Carolina operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1255609871 assigned on December 2011. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Freds Pharmacy 3774. The authorized official of this NPI record is Rick Chambers (Vice President)

NPI
1255609871
Provider Legal Name
FREDS STORES OF TENNESSEE INC.
Other Organization Name
FREDS PHARMACY 3774
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
21361 WHYTE HARDEE BLVD. HARDEEVILLE, SC 29927
Location Phone
(843) 784-6222
Location Fax
(843) 784-6223
Mailing Address
4300 NEW GETWELL RD MEMPHIS, TN 38118
Mailing Phone
(901) 238-2520
Mailing Fax
(843) 784-6223
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-09-2011
Last Update Date
09-11-2012
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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
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.

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

RICK CHAMBERS

Authorized Official Title
VICE PRESIDENT
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
0537670405MEDICARE NSC (07) 
Q356640001MEDICARE PIN (08)SC 
713653MEDICAID (05)SC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255609871
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210512018814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 2 + 0 + 1 + 8 + 8 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1255609871 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255609871, enumerated as an "organization" on December 09, 2011.

The provider is located at 21361 WHYTE HARDEE BLVD. HARDEEVILLE, SC 29927 and the phone number is (843) 784-6222.

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.