Fred Sandefer III, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

41352 Issued in TN

Practice address

4264 Summer Ave
Memphis, TN 38122-4044

Phone

(901) 763-0831

NPI assigned

Jan 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Freddie Sandefer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1891729521
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1215401500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 DELL GLADE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114715",
            "telephone_number": "901-299-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4264 SUMMER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224044",
            "telephone_number": "901-763-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDEFER",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "41352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDDIE",
            "last_name": "SANDEFER",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carl T Sanchez, MD
• Somie B Sanchez Jr.
• Yesica Sanchez
• Sanctuary at Home LLC
• Andrea Sandefer, PHARMD
• Craig J Sander, M.D.
• Eileen Kuulei Sander, M.A.,CCC-A
• Veronica Sanders-Gant, NP
• Adrienne Sanders, P.A.
• Alexis Sanders, PHARMD.

• Pharmacist in Memphis, TN
• Providers in Memphis, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.