Healthcare Provider Details

I. General information

NPI: 1134682693
Provider Name (Legal Business Name): MACS PHARMACY OAK RIDGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 NEW YORK AVENUE
OAK RIDGE TN
37830
US

IV. Provider business mailing address

1614 E. LAMAR ALEXANDER PARKWAY
MARYVILLE TN
37804
US

V. Phone/Fax

Practice location:
  • Phone: 865-298-8657
  • Fax: 865-298-8697
Mailing address:
  • Phone: 865-273-0993
  • Fax: 865-238-2755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL WILHOIT
Title or Position: PRESIDENT
Credential: PHARM D
Phone: 865-806-6453