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

NPI Status: Active since November 05, 2014

Contact Information

810 SE WASHINGTON ST
IDABEL, OK
ZIP 74745
Phone: (580) 208-2400
Fax: (580) 208-2401

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Accepts Insurance

About FREDS PHARMACY 3966

This page provides the complete NPI Profile along with additional information for Freds Pharmacy 3966, a provider established in Idabel, Oklahoma operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1710383690 assigned on November 2014. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Freds Pharmacy 3966. The authorized official of this NPI record is Rahul Kulkarni (Svp Of Finance)

NPI
1710383690
Provider Legal Name
FREDS STORES OF TENNESSEE INC
Other Organization Name
FREDS PHARMACY 3966
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
810 SE WASHINGTON ST IDABEL, OK 74745
Location Phone
(580) 208-2400
Location Fax
(580) 208-2401
Mailing Address
6625 LENOX PARK BLVD. SUITE 200 MEMPHIS, TN 38115
Mailing Phone
(901) 238-2520
Mailing Fax
(580) 208-2401
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-05-2014
Last Update Date
12-06-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RAHUL KULKARNI

Authorized Official Title
SVP OF FINANCE
Authorized Official Phone
(800) 374-7417

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200568060AMEDICAID (05)OK 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710383690
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720686618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 8 + 6 + 6 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710383690 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962053843IDABEL EXPRESS PHARMACY, LLC
Organization
Pharmacy (Community/Retail Pharmacy)810 SE WASHINGTON ST
IDABEL, OK 74745
(580) 245-6169
1013510650 DANIELLE GRAY
Individual
Pharmacist810 SE WASHINGTON ST
IDABEL, OK 74745
(580) 245-6169

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710383690, enumerated in the NPI registry as an "organization" on November 05, 2014

The provider is located at 810 Se Washington St Idabel, Ok 74745 and the phone number is (580) 208-2400

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 05, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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