Active NPI
Sarah Grace Standefer Olendorf, PHARMD
- Pharmacist
- Pikeville, TN
National Provider Identifier
1255944872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000043639
- Practice address
- 3051 Main St
Pikeville, TN 37367-5745 - Phone
- (423) 447-2134
- Fax
- (423) 447-6330
- NPI assigned
- Aug 24, 2020
- Last updated
- May 4, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 0000043639 | TN | Primary |
Addresses
Primary practice location
3051 Main St
Pikeville, TN 37367-5745
Mailing address
PO Box 150
Pikeville, TN 37367-0150
Phone (423) 447-2134
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 |
|---|---|---|---|
| 0000043639 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Standefer Pharmacy | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1255944872",
"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": "373675745",
"telephone_number": "423-447-2134",
"fax_number": "423-447-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLENDORF",
"first_name": "SARAH",
"middle_name": "GRACE STANDEFER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000043639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pikeville, TN
- Michael Smith Construction
- Cheryl Miller
- Christopher Martin Noble, PHARMD
- Northland Hearing Centers, Inc.
- Ocoee Regional Health Corporation (Bledsoe County Primary Care Center)
- Alexandra Pendergrass
- Kayla Tanyee Perry, MSN
- Pikeville Clinic, LLC
- Pikeville Family Dentistry
- Pikeville Family Healthcare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.