Max Brady Standefer, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

7335 Issued in TN

Practice address

4062 Hixson Pike
Chattanooga, TN 37415-3110

Phone

(423) 877-3568

Fax

(423) 877-9332

NPI assigned

May 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Access Durable Medical Equipment LLC

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  Authorized official Same address or phone
• Access Specialized Care

  • Long Term Care Pharmacy
  • Chattanooga, TN
  • NPI 1225236870
  Authorized official Same address or phone

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1447485875",
    "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",
            "telephone_number": "423-877-3568",
            "fax_number": "423-877-9332"
        },
        {
            "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",
            "fax_number": "423-877-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDEFER",
        "first_name": "MAX",
        "middle_name": "BRADY",
        "name_prefix": "Dr.",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "7335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline G Stamper, M.ED
• Jacqueline A Stamps, M.A.
• Carrie Marie Stanage, OTR/L
• Cynthia Ann Stanaway, PTA
• Jacob Standefer, PHARMD
• 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.
• Luther Gene Stanfield, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.