Active NPI
Tarah Michelle Standridge, PHARM D
- Pharmacist
- Sweetwater, TN
National Provider Identifier
1154461028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27047
- Practice address
- 929 New Highway 68
Sweetwater, TN 37874-2726 - Phone
- (423) 351-1277
- Fax
- (423) 351-1547
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- 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 | 27047 | TN | Primary |
Addresses
Primary practice location
929 New Highway 68
Sweetwater, TN 37874-2726
Mailing address
195 Vinegar Ridge Rd
Madisonville, TN 37354-6400
Phone (865) 335-0462
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27047 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
-
- Pharmacy
- Sweetwater, TN
- NPI 1710103726
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1154461028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 VINEGAR RIDGE RD",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373546400",
"telephone_number": "865-335-0462",
"fax_number": "423-351-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 NEW HIGHWAY 68",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "378742726",
"telephone_number": "423-351-1277",
"fax_number": "423-351-1547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDRIDGE",
"first_name": "TARAH",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "27047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sweetwater, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.