Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maynardville Pharmacy Inc

Organization Pharmacy · NPI 1396766366

Maynardville Pharmacy Inc is a Pharmacy in Maynardville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4221 Maynardville Hwy
Maynardville, TN 37807-3555
Phone: (865) 992-9455
Fax: (865) 992-7979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 3435 (TN)
Pharmacy Taxonomy 333600000X

Record details

NPI number1396766366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajendraprasad Venigalla — Secretary · (347) 528-8893
Other names Okie'S Pharmacy; Okie'S Pharmacy
NPI enumeratedJuly 22, 2006
Last updated in NPPESApril 13, 2020
Certification dateApril 13, 2020
Mailing address4221 Maynardville Hwy, Maynardville, TN 37807-3555

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