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JASPER DRUG
NPI 1407829369
Pharmacy - Community/Retail Pharmacy in Jasper, TN

Active since February 10, 2006CLIA 44D2135872 · Waiver
17 COURTHOUSE SQ, JASPER, TN 37347(423) 942-5636(423) 942-1354 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2016, May 20, 2016 (2 updates tracked since 2016).

About Jasper Drug NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASPER DRUG (NPI 1407829369) is a healthcare organization registered as a community/retail pharmacy in Jasper, Tennessee and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Fred Standefer, Owner, as its authorized official.

NPPES Registry Identity

NPI1407829369
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJASPER DRUGS LLC
Location Address17 COURTHOUSE SQJasper, TN 37347-3531
Mailing Address17 Courthouse SqJasper, TN 37347-3531 · (423) 942-5636 · Fax (423) 942-1354
Phone(423) 942-5636
Fax(423) 942-1354
Organization SubpartNo
Authorized OfficialFred StandeferOwner · (423) 447-2134
Enumeration DateFebruary 10, 2006
Last NPPES UpdateDecember 13, 20162 updates tracked since enumeration
✔ NPI 1407829369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TN · 0466
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
17 COURTHOUSE SQ, Jasper, TN 37347
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Other Names 1

Doing Business AsJasper Drug

Other Identifiers 3

Medicare NSC4253240001
Other2095593Pk
Medicaid1452478TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2135872

Jasper Drugs LLC · Jasper, TN
Active · expires Apr 25, 2027
CLIA Number44D2135872
Laboratory TypePharmacy
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorJacob Standefer
Laboratory Phone(423) 942-5636
Laboratory LocationJasper Drugs LLC17 Courthouse Square, Jasper, TN 37347
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
45 services45 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
44 services44 patients

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Jasper Drug carries, from the Medicare DMEPOS supplier directory.

Jasper Drug

DMEPOS supplier · Jasper, TNOperated by Jasper Drugs LLC
⋮

Does not accept Medicare assignment

Jasper Drug has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20613557
Medicare Participant SinceSeptember 27, 2001
Supplier Location17 Courthouse SqJasper, TN 37347
Phone(423) 942-5636
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PATRICIA KAYE
Pharmacist
17 COURTHOUSE SQ
JASPER, TN 37347
Marion County (423) 942-5636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasper Drugs LLC's NPI number?

The NPI number for Jasper Drugs LLC is 1407829369. It was assigned to this organization in the NPPES registry on February 10, 2006. The provider is doing business as Jasper Drug.

Where is Jasper Drugs LLC located?

Jasper Drugs LLC is located at 17 Courthouse Sq, Jasper, TN 37347. The listed phone number is (423) 942-5636.

What is Jasper Drugs LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Jasper Drugs LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Jasper Drug does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Jasper Drugs LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2135872) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jasper Drugs LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Jasper Drugs LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jasper Drugs LLC was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.