CAREMAX PHARMACY OF LOUDON, INC (NPI# 1073938775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073938775 |
| Entity Type | Organization |
| Organization Name | CAREMAX PHARMACY OF LOUDON, INC |
| Other Organization Name | CAREMAX SPECIALTY PHARMACY |
| Practice Address |
5331 Perimeter Pkwy Montgomery AL 36116-5125 |
| Mailing Address |
17111 Preston Rd. Suite 100 Dallas TX 75248-1234 |
| Practice Telephone | 3342202282 |
| Practice Fax Number | 8655250522 |
| Mailing Telephone | 9725881000 |
| Mailing Fax Number | 9725881001 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MR. LARRY JOE BRAYTON (EXECUTIVE VP, CSO) |
| Authorized Official Telephone | 9725881050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 333600000X | Pharmacy | 114303 | AL | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BOARD OF PHARMACY | 114303 | 01 |
| AL | 166064 | 05 |
| Other Name | Type Code |
|---|---|
| Caremax Specialty Pharmacy | Doing Business As Name - Organization |
| Paragon Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659806 | Caremax Pharmacy of Loudon, Inc | Home Infusion | 125 Battlefield Crossing Ct, Ringgold, GA 30736-5176 | 2018-11-30 |
| 1518305069 | Caremax Pharmacy of Loudon, Inc | Durable Medical Equipment & Medical Supplies | 2141 Denton Rd Ste 2, Dothan, AL 36303-2379 | 2013-06-06 |
| 1811030331 | Caremax Pharmacy of Loudon, Inc | Home Infusion | 413 S Gay St Ste 203, Knoxville, TN 37902-1104 | 2007-02-14 |
| 1740412980 | Caremax Pharmacy of Loudon, Inc | Durable Medical Equipment & Medical Supplies | 418 S Gay St, Suite 203, Knoxville, TN 37902-1134 | 2009-08-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Caremax Pharmacy of Loudon, Inc. | 3218 Morris Ave, Knoxville, TN 37909 |
| Washington State Corporations | CAREMAX PHARMACY OF LOUDON, INC. | 17111 Preston Rd, Dallas, Dallas, TX 75248-1234 |
| Street Address |
5331 PERIMETER PKWY |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-5125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003219171 | Steven Matthew Atchison | Pharmacist | 5331 Perimeter Pkwy, Montgomery, AL 36116-5125 | 2014-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578841623 | Ihs Acquisition Xxx, Inc. | Pharmacy | 2811 Horace Shepard Dr, Suite 100, Dothan, AL 36303-1038 | 2011-07-22 |
| 1912205758 | Baitshop Investments, Inc. | Pharmacy | 5129 Highway 17, Helena, AL 35080-3514 | 2011-03-02 |
| 1720301054 | Southern Hemophilia Infusion | Pharmacy | 154 Hand Ave, Bay Minette, AL 36507-4825 | 2010-03-01 |
| 1104984111 | Coag Therapeutics South Inc. | Pharmacy | 53 N Jackson St, Mobile, AL 36602-2809 | 2006-12-04 |
| 1750399762 | Advanced Home Care Inc | Pharmacy | 302 Bay St, Gadsden, AL 35901 | 2006-08-04 |
| 1942266499 | Modern Medical Concepts Homecare, Inc | Pharmacy | 110 Mmc Pkwy, Rainbow City, AL 35906-5852 | 2006-04-25 |
| 1750532677 | Midsouth | Pharmacy | 2200 Riverchase Ctr, Bld 700 Ste 700, Birmingham, AL 35244-2866 | 2008-10-09 |
| 1033246178 | Solutions Infusion Therapy | Pharmacy | 2701 4th Ave S, Birmingham, AL 35233-2707 | 2007-02-27 |
| 1518978550 | Vitalstat, Inc. | Pharmacy | 103 Sand Mountain Dr Ne, Albertville, AL 35950-1709 | 2006-08-11 |
| 1093740185 | Ritch's Vital Care of Birmingham, Inc. | Pharmacy | 2714 Cahaba Rd, Birmingham, AL 35223-2304 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.