Active NPI
Jacob Standefer, PHARMD
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1205455268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000043642
- Practice address
- 4062 Hixson Pike
Chattanooga, TN 37415-3110 - Phone
- (423) 877-3568
- NPI assigned
- Apr 10, 2020
- 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 | 0000043642 | TN | Primary |
Addresses
Primary practice location
4062 Hixson Pike
Chattanooga, TN 37415-3110
Mailing address
4062 Hixson Pike
Chattanooga, TN 37415-3110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | 0 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jakestandefer@accesspharmacy.us | Access Drugs, LLC |
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 |
|---|---|---|---|
| 0000043642 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Drugs, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1205455268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4062 HIXSON PIKE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374153110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4062 HIXSON PIKE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374153110",
"telephone_number": "423-877-3568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDEFER",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-10",
"last_updated": "2023-11-27",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000043642",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jakestandefer@accesspharmacy.us",
"affiliation": "Y",
"affiliationName": "Access Drugs, LLC",
"address_1": "4062 Hixson Pike",
"city": "Chattanooga",
"state": "TN",
"country_code": "US",
"postal_code": "374153110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chattanooga, TN
- Markeisha Shana Stallion
- Pauline G Stamper, M.ED
- Jacqueline A Stamps, M.A.
- Carrie Marie Stanage, OTR/L
- Cynthia Ann Stanaway, PTA
- Max Brady Standefer, DPH
- Standifer Gap Rd Healthcare LLC (Chattanooga Health and Rehab Center)
- John Brendle Standridge II, M.D.
- James Stanfield, M.D.
- Jennifer D. Stanfield, P.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.