Organization Active NPI

Caremax Pharmacy of Loudon, Inc

  • Specialty Pharmacy
  • Knoxville, TN
National Provider Identifier
1497439715
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
CAREMAX PHARMACY OF LOUDON, INC
Practice address
418 S Gay St Ste 203
Knoxville, TN 37902-1142
Phone
(865) 540-1002
NPI assigned
Jun 15, 2023
Organization subpart
Yes
Parent organization
CAREMAX PHARMACY OF LOUDON, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Amy Mulderry
Title
President
Phone
(972) 588-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

418 S Gay St Ste 203
Knoxville, TN 37902-1142

Mailing address

418 S Gay St Ste 203
Knoxville, TN 37902-1142
Phone (865) 540-1002

Other names 1

  • Paragon Infusion Doing business as

National Provider Directory

National Provider Directory
Part of
Caremax Pharm of Loudon Inc

Locations

418 S Gay St
Ste 203
Knoxville, TN 37902
Phone (865) 540-1002

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1497439715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S GAY ST STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379021142",
            "telephone_number": "865-540-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S GAY ST STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379021142",
            "telephone_number": "865-540-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMAX PHARMACY OF LOUDON, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREMAX PHARMACY OF LOUDON, INC",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "MULDERRY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-588-1000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Infusion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paragon Infusion",
            "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 Nov 13, 2024; 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.