Provider Demographics
NPI:1740412980
Name:CAREMAX PHARMACY OF LOUDON, INC
Entity Type:Organization
Organization Name:CAREMAX PHARMACY OF LOUDON, INC
Other - Org Name:PARAGON INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:FINAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-588-1000
Mailing Address - Street 1:418 S GAY ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37902-1134
Mailing Address - Country:US
Mailing Address - Phone:866-491-5888
Mailing Address - Fax:866-972-5888
Practice Address - Street 1:418 S GAY ST STE 203
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37902-1142
Practice Address - Country:US
Practice Address - Phone:865-540-1002
Practice Address - Fax:865-525-0522
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREMAX PHARMACY OF LOUDON, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-21
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X, 332B00000X, 332BP3500X, 3336H0001X
TN47803336S0011X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1520188Medicaid
1165980002Medicare NSC