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FREDS PHARMACY 2079
NPI 1386676229
Pharmacy - Community/Retail Pharmacy in Johnsonville, SC

Active since July 07, 2006
198 STUCKEY ST, JOHNSONVILLE, SC 29555(843) 386-3335(843) 386-3381 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Freds Pharmacy 2079 NPPES

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

FREDS PHARMACY 2079 (NPI 1386676229) is a healthcare organization registered as a community/retail pharmacy in Johnsonville, South Carolina and active in the NPI registry since July 2006. The organization lists Ricky Chambers, Vp, as its authorized official.

NPPES Registry Identity

NPI1386676229
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address198 STUCKEY STJohnsonville, SC 29555-6446
Mailing Address4300 New Getwell RdMemphis, TN 38118-6801 · (901) 238-2520 · Fax (901) 365-9820
Phone(843) 386-3335
Fax(843) 386-3381
Organization SubpartYesParent: Freds Inc
Authorized OfficialRicky ChambersVp · (901) 238-2477
Enumeration DateJuly 7, 2006
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1386676229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in SC · 50007616
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.
Also ListedPharmacyTaxonomy 333600000X · License 50007616 (SC)
198 STUCKEY ST, Johnsonville, SC 29555
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Other Names 1

Doing Business AsFreds Pharmacy 2079

Other Identifiers 2

Medicare NSC0537670276
Other4224995Other Id Number-commercial Number

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 1386676229. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Freds Pharmacy 2079.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 198 Stuckey St, Johnsonville, SC 29555. The listed phone number is (843) 386-3335.

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, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.