Organization Active NPI

Caremax Pharmacy of Loudon, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
National Provider Identifier
1811030331
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
830 Issued in TN
Legal business name
CAREMAX PHARMACY OF LOUDON, INC
Practice address
413 S Gay St Ste 203
Knoxville, TN 37902-1104
Phone
(865) 540-1002
Fax
(866) 491-5888
NPI assigned
Feb 14, 2007
Organization subpart
Yes
Parent organization
PARAGON HEALTHCARE, INC.As 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) 588-1050

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X 830 TN Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

413 S Gay St Ste 203
Knoxville, TN 37902-1104

Mailing address

17111 Preston Rd Ste 100
Dallas, TX 75248-1234
Phone (866) 972-5888

Other practice location 1

3218 Morris Ave
Suite B
Knoxville, TN 37909-1527
Phone (865) 540-1002

Other names 2

  • CAREMAX HOME MEDICAL Doing business as
  • Paragon Infusion Doing business as

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1811030331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17111 PRESTON RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481234",
            "telephone_number": "866-972-5888",
            "fax_number": "664-915-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S GAY ST STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379021104",
            "telephone_number": "865-540-1002",
            "fax_number": "866-491-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3218 Morris Ave",
            "address_2": "SUITE B",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379091527",
            "country_code": "US",
            "telephone_number": "865-540-1002",
            "fax_number": "865-525-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREMAX PHARMACY OF LOUDON, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARAGON HEALTHCARE, INC.",
        "enumeration_date": "2007-02-14",
        "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": "972-588-1050"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "830",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAREMAX HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CAREMAX HOME MEDICAL",
            "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.