Healthcare Provider Details

I. General information

NPI: 1447388707
Provider Name (Legal Business Name): MACS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2419 WASHINGTON PIKE
KNOXVILLE TN
37917-3321
US

IV. Provider business mailing address

2419 WASHINGTON PIKE
KNOXVILLE TN
37917-3321
US

V. Phone/Fax

Practice location:
  • Phone: 865-524-3453
  • Fax: 865-524-9925
Mailing address:
  • Phone: 865-524-3453
  • Fax: 865-524-9925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2045
License Number StateTN

VIII. Authorized Official

Name: RICHARD MATTHEW CRAWFORD
Title or Position: OWNER/ PIC
Credential:
Phone: 865-524-3453