Maynardville Pharmacy Inc
Maynardville Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Maynardville, TN, holding Type 2 (organization) NPI 1396766366 since 2006. The authorized official on file is Rajendraprasad Venigalla, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396766366 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Maynardville Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 4221 MAYNARDVILLE HWY, Maynardville, TN, 37807 |
| Phone | 8659929455 |
| Fax | 8659927979 |
| Enumeration date | 2006-07-22 |
| Last updated in NPPES | 2020-04-13 |
Authorized official
| Name | Rajendraprasad Venigalla |
|---|---|
| Title | Secretary |
| Phone | 3475288893 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 3435 | TN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2123620 | Other | — | PK |
| Q033563 | Medicaid | TN | — |
Copy-ready billing details
Provider: Maynardville Pharmacy Inc NPI: 1396766366 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 4221 MAYNARDVILLE HWY, Maynardville, TN, 37807
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417254723 | Michelle Leach | Individual | Pharmacist | Maynardville, TN |
| 1538605498 | Christopher Byrd | Individual | Pharmacist | Maynardville, TN |
Verify this record
Cross-check NPI 1396766366 against the authoritative CMS record: view Maynardville Pharmacy Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Maynardville Pharmacy Inc?
Who is the authorized official for Maynardville Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-04-13.