CATES STREET PHARMACY LLC
NPI 1851364483
Pharmacy - Community/Retail Pharmacy in Dunlap, TN

Active since February 13, 2006CLIA 44D2211013 · Waiver
104 CATES ST, DUNLAP, TN 37327(423) 949-5722(423) 949-6176 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cates Street Pharmacy Llc NPPES

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

CATES STREET PHARMACY LLC (NPI 1851364483), doing business as Cates Street Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Dunlap, Tennessee and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Jacob Standefer, Manager, as its authorized official.

NPPES Registry Identity

NPI1851364483
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCATES STREET PHARMACY LLC
Location Address104 CATES STDunlap, TN 37327-6093
Mailing AddressPo Box 1685Dunlap, TN 37327-1685 · (423) 949-5722 · Fax (423) 949-6176
Fax(423) 949-6176
Organization SubpartNo
Authorized OfficialJacob StandeferManager · (423) 877-3568
Enumeration DateFebruary 13, 2006
Last NPPES UpdateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
NPI 1851364483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in TN · 00003967
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 ListedPharmacyTaxonomy 333600000X
104 CATES ST, Dunlap, TN 37327

Other Names 1

Doing Business AsCates Street Pharmacy

Other Identifiers 2

Other2094085Pk
MedicaidQ047238TN

Accepted 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 44D2211013

Cates Street Pharmacy · Dunlap, TN
Active · expires Jan 24, 2027
CLIA Number44D2211013
Laboratory TypePharmacy
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorJacob B. Standefer
Laboratory Phone(423) 949-5722
Laboratory LocationCates Street Pharmacy104 Cates Street, Dunlap, TN 37327
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.

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.
39 services39 patients
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.
39 services39 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Cates Street Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Cates Street Pharmacy LLC

DMEPOS supplier · Dunlap, TN

Accepts Medicare assignment

Cates Street Pharmacy LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20480405
Medicare Participant SinceJanuary 1, 2016
Supplier Location104 Cates StDunlap, TN 37327
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Cates Street Pharmacy LLC's NPI number?

The NPI number for Cates Street Pharmacy LLC is 1851364483. It was assigned to this organization in the NPPES registry on February 13, 2006. The provider is doing business as Cates Street Pharmacy.

Where is Cates Street Pharmacy LLC located?

Cates Street Pharmacy LLC is located at 104 Cates St, Dunlap, TN 37327. The listed phone number is (423) 949-5722.

What is Cates Street Pharmacy LLC's specialty?

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

Does Cates Street Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Cates Street Pharmacy LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Cates Street Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2211013) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cates Street Pharmacy 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 51 other insurers list Cates Street Pharmacy 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 Cates Street Pharmacy LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.