| NPI | 1083782221 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-12-04 |
| Last Updated | 2017-03-27 |
| Authorized Official | Russell Essary Pharmacist/Owner Phone: 4236267337 |
| Mailing Address | Po Box 1438 New Tazewell, TN 37824-1438 United States Phone: (423) 626-7337 | Fax: (423) 626-0189 📍 View Map |
| Primary Practice Address | 420 N Broad St New Tazewell, TN 37825-6606 United States Phone: (423) 626-7337 | Fax: (423) 626-0189 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TN | 1454670 | - |
| Other (non-Medicare) | - | 2159557 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | TN | 4057 |
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About NPI 1083782221
Stanifer Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083782221. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in New Tazewell, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083782221?
NPI 1083782221 belongs to Stanifer Pharmacy Llc, a Pharmacy, Community/Retail Pharmacy in New Tazewell, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083782221 active?
The current status of NPI 1083782221 in the NPPES registry is Active. The record was last updated on 2017-03-27.
What specialty is NPI 1083782221?
NPI 1083782221 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083782221?
You can verify NPI 1083782221 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083782221?
The primary practice address on file for NPI 1083782221 is 420 N Broad St, New Tazewell, TN 37825-6606. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083782221 issued?
NPI 1083782221 was first issued (enumerated) on 2006-12-04. The NPPES record was last updated on 2017-03-27.
Practice Location Map
Stanifer Pharmacy Llc is located at 420 N Broad St, New Tazewell, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Stanifer Pharmacy Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083782221. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 4057 | TN |