Active NPI
William R Stanifer Jr., DPH
- Pharmacist
- New Tazewell, TN
National Provider Identifier
1124155429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4547
- Practice address
- 420 N Broad St
New Tazewell, TN 37825-6606 - Phone
- (423) 626-7337
- Fax
- (423) 626-0189
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4547 | TN | Primary |
Addresses
Primary practice location
420 N Broad St
New Tazewell, TN 37825-6606
Mailing address
203 W Jacksboro Rd
P O Box 511
New Tazewell, TN 37825-8306
Phone (423) 626-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanifer Pharmacy LLC | Past | Accepting new patients | |
| Stanifer Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- New Tazewell, TN
- NPI 1083417414
-
- Community/Retail Pharmacy
- New Tazewell, TN
- NPI 1083782221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124155429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 W JACKSBORO RD",
"address_2": "P O BOX 511",
"city": "NEW TAZEWELL",
"state": "TN",
"postal_code": "378258306",
"telephone_number": "423-626-7337",
"fax_number": "423-626-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N BROAD ST",
"city": "NEW TAZEWELL",
"state": "TN",
"postal_code": "378256606",
"telephone_number": "423-626-7337",
"fax_number": "423-626-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANIFER",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "4547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.