FREDS STORES OF TENNESSEE INC
NPI: 1588941322
· RIPLEY, TN 38063
· Community/Retail Pharmacy
· NPI assigned 11/08/2011
$81.42
Total Medicaid Paid
Provider Details
| Authorized Official | KULKARNI, RAHUL (SVP OF FINANCE) |
| Parent Organization | FREDS INC. |
| NPI Enumeration Date | 11/08/2011 |
Related Entities
Other providers sharing the same authorized official: KULKARNI, RAHUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$81.42 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
40 |
39 |
$81.42 |