Three Oaks Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

THREE OAKS PHARMACY, LLC

Practice address

259 Three Oaks Dr Ste a
Medina, TN 38355-1501

Phone

(731) 783-3300

Fax

(731) 783-3900

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Toby Derek Holyfield, PHARM. D

Title

Managing Member

Phone

(731) 618-1787

Specialties & licenses 1

Addresses

Other names 1

• Three Oaks Pharmacy LTC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Addison Ross

  • Pharmacist
  • Humboldt, TN
  • NPI 1154983872
  NPD

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1497538524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 THREE OAKS DR STE A",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383551501",
            "telephone_number": "731-783-3300",
            "fax_number": "731-783-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 THREE OAKS DR STE A",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383551501",
            "telephone_number": "731-783-3300",
            "fax_number": "731-783-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE OAKS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "HOLYFIELD",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "731-618-1787",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Oaks Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allie Boyd Seaton
• Cherie Michele Smith, LCSW
• Souder Gastro
• Joseph Heath Thompson, PA-C
• Three Oaks Pharmacy, LLC
• Total Renal Care Inc
• Leven Ward, AGACNP
• Alexandria Destenee Webb
• Katina White
• Stefannie Elaine Wilkes-Pounders

• Long Term Care Pharmacy in Medina, TN
• Providers in Medina, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.