FREDS PHARMACY 1876 (FREDS STORES OF TENNESSEE INC) NPI 1558393587

Pharmacy (Community/Retail Pharmacy) in Hueytown, AL

NPI 1558393587 Organization Pharmacy Community/Retail Pharmacy

About FREDS PHARMACY 1876 (FREDS STORES OF TENNESSEE INC)

Freds Pharmacy 1876 (freds Stores Of Tennessee Inc) is a provider established in Hueytown, Alabama specializing in pharmacy (community/retail pharmacy) . The NPI number of Freds Pharmacy 1876 (freds Stores Of Tennessee Inc) is 1558393587 and was assigned on July 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 112027 (AL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Freds Pharmacy 1876. The authorized official of this NPI record is Ricky Chambers Pharmd (Vp)

NPI

1558393587

Provider NameFREDS PHARMACY 1876 (FREDS STORES OF TENNESSEE INC)
Provider Location Address3056 ALLISON BONNETT HUEYTOWN, AL 35023
Provider Mailing Address4300 NEW GETWELL RD MEMPHIS, TN 38118
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameFREDS PHARMACY 1876
Other Name TypeDoing Business As (3)
Enumeration Date07-07-2006
Last Update Date01-11-2008


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.112027
License StateAL
Taxonomy DescriptionA 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.

Business Address

FREDS PHARMACY 1876
3056 ALLISON BONNETT
HUEYTOWN, AL
ZIP 35023
Phone: (205) 497-4464
Fax: (205) 491-1676

Get Directions


Mailing Address

FREDS PHARMACY 1876
4300 NEW GETWELL RD
MEMPHIS, TN
ZIP 38118
Phone: (901) 238-2520
Fax: (901) 365-9820



Authorized Official

Authorized Official Name RICKY CHAMBERS PHARMD
Authorized Official TitleVP
Authorized Official Phone(901) 238-2477

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1333600000XSuppliersPharmacy112027ALNo

Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0130916OTHER (01)
0537670251MEDICARE NSC (07)

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.