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FREDS PHARMACY 1201
NPI 1639107618
Pharmacy - Community/Retail Pharmacy in Benton, AR

Active since June 29, 2006
1212 MILITARY RD, BENTON, AR 72015(501) 778-2036(501) 778-6899 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Freds Pharmacy 1201 NPPES

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

FREDS PHARMACY 1201 (NPI 1639107618) is a healthcare organization registered as a community/retail pharmacy in Benton, Arkansas and active in the NPI registry since June 2006. The organization lists Ricky Chambers, Vp, as its authorized official.

NPPES Registry Identity

NPI1639107618
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address1212 MILITARY RDBenton, AR 72015-2908
Mailing Address4300 New Getwell RdMemphis, TN 38118-6801 · (901) 238-2520 · Fax (901) 365-9820
Phone(501) 778-2036
Fax(501) 778-6899
Organization SubpartYesParent: Freds Inc
Authorized OfficialRicky ChambersVp · (901) 238-2477
Enumeration DateJune 29, 2006
Last NPPES UpdateJanuary 4, 2010
✔ NPI 1639107618 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 AR · 417255
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 417255 (AR)
1212 MILITARY RD, Benton, AR 72015
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Other Names 1

Doing Business AsFreds Pharmacy 1201

Other Identifiers 5

Medicaid120515407AR
Medicare NSC0537670165
Medicare PIN10634AR
Other156772716AR · Dme
Other0417255Other 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 1639107618. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Freds Pharmacy 1201.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 1212 Military Rd, Benton, AR 72015. The listed phone number is (501) 778-2036.

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 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.