Active NPI
Caremax Pharmacy of Loudon, Inc
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
National Provider Identifier
1811030331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 830
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Paragon Infusion
National Provider Directory
National Provider DirectoryLocations
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.