Active NPI
Standefer Drug Center LLC
- Pharmacy
- Pikeville, TN
National Provider Identifier
1285607044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 1069
- Legal business name
- STANDEFER DRUG CENTER LLC
- Practice address
- 119 Main St
Pikeville, TN 37367-4919 - Phone
- (423) 447-2134
- Fax
- (423) 877-2111
- NPI assigned
- Feb 10, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joel Standefer
- Title
- Owner
- Phone
- (423) 447-2134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 1069 | TN | Primary |
Addresses
Primary practice location
119 Main St
Pikeville, TN 37367-4919
Mailing address
119 Main St
Pikeville, TN 37367-4919
Phone (423) 447-2134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1069 | Other | TN | PHARMACY |
National Provider Directory
National Provider Directory- Tax ID family
- Standefer Drug Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Pikeville, TN
- NPI 1396813226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285607044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 MAIN ST",
"city": "PIKEVILLE",
"state": "TN",
"postal_code": "373674919",
"telephone_number": "423-447-2134",
"fax_number": "423-877-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 MAIN ST",
"city": "PIKEVILLE",
"state": "TN",
"postal_code": "373674919",
"telephone_number": "423-447-2134",
"fax_number": "423-877-2111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANDEFER DRUG CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STANDEFER",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-447-2134",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TN",
"license": "1069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "1069",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pikeville, TN
- Troy David Simpson
- Skills Training and Rehabilitation Services (S.T.a.R.S.)
- Michael Smith
- Tony Dwayne Smith, D.O.
- Dorothy Spafford, PH.D.
- Standefer Pharmacy (Standefer Drugcenter)
- Fred Joel Standefer Jr., DPH
- State of Tennesseee (Bledsoe County Health Department)
- Diana Tapu Sanders
- Tennessee Em-I Medical Services, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.