Standefer Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1069 Issued in TN

Legal business name

STANDEFER PHARMACY

Doing business as

Standefer Drugcenter

Practice address

3051 Main St
Pikeville, TN 37367-0150

Phone

(423) 447-2134

Fax

(423) 447-6330

NPI assigned

Dec 5, 2006

Last updated

May 20, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fred StandeferNPI 1396813226

Title

Partner and Pharmacist

Phone

(423) 447-2134

Specialties & licenses 4

Addresses

Other names 1

• STANDEFER DRUGCENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Standefer Drug Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Standefer Drug Center LLC

  • Pharmacy
  • Pikeville, TN
  • NPI 1285607044
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fred Joel Standefer Jr., DPH

  • Pharmacist
  • Pikeville, TN
  • NPI 1396813226
  NPD Authorized official
• Leslie Rogers McWherter, PHARM D

  • Pharmacist
  • Pikeville, TN
  • NPI 1902496888
  NPD (past)
• Sarah Grace Standefer Olendorf, PHARMD

  • Pharmacist
  • Pikeville, TN
  • NPI 1255944872
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1073671608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "PIKEVILLE",
            "state": "TN",
            "postal_code": "373670150",
            "telephone_number": "423-447-2134",
            "fax_number": "423-447-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 MAIN ST",
            "city": "PIKEVILLE",
            "state": "TN",
            "postal_code": "373670150",
            "telephone_number": "423-447-2134",
            "fax_number": "423-447-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDEFER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "STANDEFER",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PARTNER AND PHARMACIST",
        "authorized_official_telephone_number": "423-447-2134"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1069",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STANDEFER DRUGCENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skills Training and Rehabilitation Services (S.T.a.R.S.)
• Michael Smith
• Tony Dwayne Smith, D.O.
• Dorothy Spafford, PH.D.
• Standefer Drug Center LLC
• Fred Joel Standefer Jr., DPH
• State of Tennesseee (Bledsoe County Health Department)
• Diana Tapu Sanders
• Tennessee Em-I Medical Services, PC
• Tennessee River Physicians, PLLC

• Community/Retail Pharmacy in Pikeville, TN
• Providers in Pikeville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.