Maynardville Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Maynardville Pharmacy Inc is a Community/Retail Pharmacy in Maynardville, Tennessee. It is located at 4221 Maynardville Hwy, Maynardville and it's customer support contact number is 865-992-9455. The authorized person of Maynardville Pharmacy Inc is Rajendraprasad Venigalla who is Secretary of the pharmacy and his contact number is 347-528-8893. Active license number of Maynardville Pharmacy Inc is 3435 for Community/Retail Pharmacy in Tennessee. Maynardville Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Maynardville Pharmacy Inc is 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.
Pharmacy Details:
Maynardville Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Rajendraprasad Venigalla
Position:
Secretary
Contact Number:
347-528-8893
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1396766366
NPI Enumeration Date:
22 Jul, 2006
NPI Last Update On:
13 Apr, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maynardville Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
3435
Tennessee
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2123620
Other
Pk
Q033563
Medicaid
Tennessee
Medicare Enrollment:
Maynardville Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
9234318999
O20110126001098
Maynardville Pharmacy Inc
DME SUPPLIER - PHARMACY
9234318999
O20150312000657
Maynardville Pharmacy Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Maynardville Pharmacy Inc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Nebulizer Equipment & Supplies
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4221 Maynardville Hwy, Maynardville, Tennessee
Zip:
37807-3555
Phone Number:
865-992-9455
Fax Number:
865-992-7979
Patients can reach Maynardville Pharmacy Inc at 4221 Maynardville Hwy, Maynardville, Tennessee or can call on customer care at 865-992-9455.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.