Organization Active NPI

Macs Pharmacy Inc

Doing business as Macs Pharmacy

  • Community/Retail Pharmacy
  • Knoxville, TN
National Provider Identifier
1447388707
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2045 Issued in TN
Legal business name
MACS PHARMACY INC
Doing business as
Macs Pharmacy
Practice address
2419 Washington Pike
Knoxville, TN 37917-3321
Phone
(865) 524-3453
Fax
(865) 524-9925
NPI assigned
Mar 1, 2007
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Richard Matthew CrawfordNPI 1851826960
Title
Owner/ Pic
Phone
(865) 524-3453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2045 TN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2419 Washington Pike
Knoxville, TN 37917-3321

Mailing address

2419 Washington Pike
Knoxville, TN 37917-3321
Phone (865) 524-3453

Other identifiers 2

IdentifierTypeStateIssuer
2095705OtherPK
9449518MedicaidTN

Other names 1

  • MACS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930091220 TN DME Supplier - Pharmacy 1658466362 Practice locations: Knoxville, TN
O20151123000104 TN Part B Supplier - Pharmacy 1658466362 Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory
Tax ID family
Macs Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1447388707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 WASHINGTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379173321",
            "telephone_number": "865-524-3453",
            "fax_number": "865-524-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 WASHINGTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379173321",
            "telephone_number": "865-524-3453",
            "fax_number": "865-524-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/ PIC",
        "authorized_official_telephone_number": "865-524-3453"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "2045",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095705",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9449518",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MACS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.