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HUDSON DRUG STORE #3579
NPI 1265878557
Pharmacy - Community/Retail Pharmacy in Bolivar, TN

Active since May 14, 2013CLIA 44D2306682 · Waiver
600 NUCKOLLS RD, BOLIVAR, TN 38008(731) 658-5207 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2019, Aug 30, 2019, Aug 7, 2019 (3 updates tracked since 2019).

About Hudson Drug Store #3579 NPPES

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

HUDSON DRUG STORE #3579 (NPI 1265878557) is a healthcare organization registered as a community/retail pharmacy in Bolivar, Tennessee and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Rahul Kulkarni, Svp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1265878557
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC.
Location Address600 NUCKOLLS RDBolivar, TN 38008-1532
Mailing Address6625 Lenox Park Blvd., Suite 200Memphis, TN 38115 · (901) 238-2520 · Fax (901) 365-9820
Phone(731) 658-5207
Organization SubpartYesParent: Freds Inc.
Authorized OfficialRahul KulkarniSvp Of Finance · (800) 374-7417
Enumeration DateMay 14, 2013
Last NPPES UpdateDecember 6, 20193 updates tracked since enumeration
✔ NPI 1265878557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
600 NUCKOLLS RD, Bolivar, TN 38008
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Other Names 1

Doing Business AsHudson Drug Store #3579

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2306682

Hudson Drug Store · Bolivar, TN
Active · expires Jun 23, 2028
CLIA Number44D2306682
Laboratory TypePharmacy
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorAmanda B. Baker
Laboratory Phone(731) 658-5207
Laboratory LocationHudson Drug Store600 Nuckolls Rd, Bolivar, TN 38008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

JAMES KIM NUCKOLLS BS
Pharmacist
600 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-5207
JASON CARTER PHARM D.
Pharmacist
600 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-5207
DR. AMANDA B BAKER PHARMD
Pharmacist
600 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-5207
NUCKOLLS DRUG STORES, INC
Pharmacy
600 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-5207
HUDSON DRUG STORE, LLC
Pharmacy (Community/Retail Pharmacy)
600 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-5207
DR. RANDALL WAYNE CASTELLAW
Pharmacist
600 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-5207
DR. MICHAEL AARON BURKS PHARM.D.
Pharmacist
600 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-5207
FREEMAN HUNTER BAIRD JR. BS
Pharmacist
600 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-5207

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 1265878557. It was assigned to this organization in the NPPES registry on May 14, 2013. The provider is doing business as Hudson Drug Store #3579.

Where is Freds Stores Of Tennessee Inc. located?

Freds Stores Of Tennessee Inc. is located at 600 Nuckolls Rd, Bolivar, TN 38008. The listed phone number is (731) 658-5207.

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.

Does Freds Stores Of Tennessee Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2306682) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Freds Stores Of Tennessee Inc. accept?

Health plans from Medica list Freds Stores Of Tennessee Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Freds Stores Of Tennessee Inc. was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.