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THREE OAKS PHARMACY
NPI 1023446051
Pharmacy - Community/Retail Pharmacy in Medina, TN

Active since October 30, 2013CLIA 44D2181561 · Waiver
259 THREE OAKS DR, SUITE A, MEDINA, TN 38355(731) 783-3300(731) 783-3900 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 10, 2019, Nov 27, 2019 (2 updates tracked since 2019).

About Three Oaks Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THREE OAKS PHARMACY (NPI 1023446051) is a healthcare organization registered as a community/retail pharmacy in Medina, Tennessee and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Derek Holyfield, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1023446051
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHREE OAKS PHARMACY, LLC
Location Address259 THREE OAKS DR, SUITE AMedina, TN 38355
Mailing Address259 Three Oaks Dr Ste AMedina, TN 38355-1501 · (731) 783-3300 · Fax (731) 783-3900
Phone(731) 783-3300
Fax(731) 783-3900
Organization SubpartNo
Authorized OfficialDerek HolyfieldManaging Member · (731) 618-1787
Enumeration DateOctober 30, 2013
Last NPPES UpdateDecember 10, 20192 updates tracked since enumeration
✔ NPI 1023446051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TN · 00005271
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
259 THREE OAKS DR, Medina, TN 38355
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Other Names 1

Doing Business AsThree Oaks Pharmacy

Other Identifiers 1

MedicaidQ033190TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2181561

Three Oaks Pharmacy LLC · Medina, TN
Active · expires Apr 6, 2028
CLIA Number44D2181561
Laboratory TypePharmacy
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorBrian E. Whitby
Laboratory Phone(731) 783-3300
Laboratory LocationThree Oaks Pharmacy LLC259 Three Oaks Drive Suite A, Medina, TN 38355
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Three Oaks Pharmacy, LLC's NPI number?

The NPI number for Three Oaks Pharmacy, LLC is 1023446051. It was assigned to this organization in the NPPES registry on October 30, 2013. The provider is doing business as Three Oaks Pharmacy.

Where is Three Oaks Pharmacy, LLC located?

Three Oaks Pharmacy, LLC is located at 259 Three Oaks Dr Suite A, Medina, TN 38355. The listed phone number is (731) 783-3300.

What is Three Oaks Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Three Oaks Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2181561) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Three Oaks Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Three Oaks Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Three Oaks Pharmacy, LLC was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.