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FREDS PHARMACY 3966
NPI 1710383690
Pharmacy - Community/Retail Pharmacy in Idabel, OK

Active since November 05, 2014
810 SE WASHINGTON ST, IDABEL, OK 74745(580) 208-2400(580) 208-2401 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2019, Aug 30, 2019, Aug 8, 2019 (3 updates tracked since 2019).

About Freds Pharmacy 3966 NPPES

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

FREDS PHARMACY 3966 (NPI 1710383690) is a healthcare organization registered as a community/retail pharmacy in Idabel, Oklahoma and active in the NPI registry since November 2014. The organization lists Rahul Kulkarni, Svp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1710383690
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFREDS STORES OF TENNESSEE INC
Location Address810 SE WASHINGTON STIdabel, OK 74745-3442
Mailing Address6625 Lenox Park Blvd., Suite 200Memphis, TN 38115 · (901) 238-2520 · Fax (901) 365-9820
Phone(580) 208-2400
Fax(580) 208-2401
Organization SubpartYesParent: Freds Inc.
Authorized OfficialRahul KulkarniSvp Of Finance · (800) 374-7417
Enumeration DateNovember 5, 2014
Last NPPES UpdateDecember 6, 20193 updates tracked since enumeration
✔ NPI 1710383690 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.
810 SE WASHINGTON ST, Idabel, OK 74745
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Other Names 1

Doing Business AsFreds Pharmacy 3966

Other Identifiers 1

Medicaid200568060AOK

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

DANIELLE GRAY
Pharmacist
810 SE WASHINGTON ST
IDABEL, OK 74745
McCurtain County (580) 245-6169
IDABEL EXPRESS PHARMACY, LLC
Pharmacy (Community/Retail Pharmacy)
810 SE WASHINGTON ST
IDABEL, OK 74745
McCurtain County (580) 245-6169

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 1710383690. It was assigned to this organization in the NPPES registry on November 5, 2014. The provider is doing business as Freds Pharmacy 3966.

Where is Freds Stores Of Tennessee Inc located?

Freds Stores Of Tennessee Inc is located at 810 SE Washington St, Idabel, OK 74745. The listed phone number is (580) 208-2400.

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.

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.