Provider Demographics
NPI:1891331336
Name:CAREMAX COMMUNITY PHARMACY LLC
Entity Type:Organization
Organization Name:CAREMAX COMMUNITY PHARMACY LLC
Other - Org Name:CAREMAX SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:NOLAN
Authorized Official - Last Name:SHERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-692-1603
Mailing Address - Street 1:418 S GAY ST # 104
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37902-1134
Mailing Address - Country:US
Mailing Address - Phone:865-692-1603
Mailing Address - Fax:865-692-1604
Practice Address - Street 1:418 S GAY ST # 104
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37902-1134
Practice Address - Country:US
Practice Address - Phone:865-692-1603
Practice Address - Fax:865-692-1604
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREMAX COMMUNITY PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-19
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies