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FREDS PHARMACY 1516
NPI 1477585412
Pharmacy - Community/Retail Pharmacy in Eldorado, IL

Active since July 07, 2006
1021 US HIGHWAY 45 N, ELDORADO, IL 62930(618) 273-3874(618) 273-3843 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Freds Pharmacy 1516 NPPES

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

FREDS PHARMACY 1516 (NPI 1477585412) is a healthcare organization registered as a community/retail pharmacy in Eldorado, Illinois and active in the NPI registry since July 2006. The organization lists Ricky Chambers, Vp, as its authorized official.

NPPES Registry Identity

NPI1477585412
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address1021 US HIGHWAY 45 NEldorado, IL 62930-3767
Mailing Address4300 New Getwell RdMemphis, TN 38118-6801 · (901) 238-2520 · Fax (901) 365-9820
Phone(618) 273-3874
Fax(618) 273-3843
Organization SubpartYesParent: Freds Inc
Authorized OfficialRicky ChambersVp · (901) 238-2477
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 5, 2012
✔ NPI 1477585412 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 IL · 54014867
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 54014867 (IL)
1021 US HIGHWAY 45 N, Eldorado, IL 62930
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Other Names 1

Doing Business AsFreds Pharmacy 1516

Other Identifiers 4

Medicare NSC0537670212
Other1475436Other Id Number-commercial Number
Medicaid=========003IL
Medicare PINIL7573IL

Other Providers at the Same Location NPPES

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

JASON K BRANNOCK R.PH.
Pharmacist
1021 US HIGHWAY 45 N
ELDORADO, IL 62930
Saline County (618) 273-3874

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 1477585412. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Freds Pharmacy 1516.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 1021 Us Highway 45 N, Eldorado, IL 62930. The listed phone number is (618) 273-3874.

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 November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.