Individual provider Active NPI

Andrea Sandefer, PHARMD

  • Pharmacist
  • Memphis, TN
National Provider Identifier
1346851904
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41355 Issued in TN
Practice address
3381 Poplar Ave
Memphis, TN 38111-4601
Phone
(901) 458-8559
NPI assigned
Aug 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41355 TN Primary

Addresses

Primary practice location

3381 Poplar Ave
Memphis, TN 38111-4601

Mailing address

3381 Poplar Ave
Memphis, TN 38111-4601
Phone (901) 458-8559

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxm.03227@store.walgreens.com

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

LicenseStateTypeSpecialty
41355TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Aug 23, 2020 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": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1346851904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114601",
            "telephone_number": "901-458-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114601",
            "telephone_number": "901-458-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDEFER",
        "first_name": "ANDREA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "41355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.03227@store.walgreens.com",
            "affiliation": "N",
            "address_1": "3381 Poplar Ave",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381114601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.