| NPI | 1053963975 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2019-07-11 |
| Last Updated | 2021-01-06 |
| Authorized Official | Michelle Halford Owner/PIC Phone: 8652787895 |
| Mailing Address | Po Box 990 New Tazewell, TN 37824-0990 United States Phone: (865) 278-7895 📍 View Map |
| Primary Practice Address | 2975 Maynardville Hwy Maynardville, TN 37807 United States Phone: (865) 658-5353 | Fax: (865) 658-5354 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1053963975
Maynardville Drug Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053963975. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Maynardville, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-07-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053963975?
NPI 1053963975 belongs to Maynardville Drug Llc, a Pharmacy, Community/Retail Pharmacy in Maynardville, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053963975 active?
The current status of NPI 1053963975 in the NPPES registry is Active. The record was last updated on 2021-01-06.
What specialty is NPI 1053963975?
NPI 1053963975 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053963975?
You can verify NPI 1053963975 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053963975?
The primary practice address on file for NPI 1053963975 is 2975 Maynardville Hwy, Maynardville, TN 37807. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053963975 issued?
NPI 1053963975 was first issued (enumerated) on 2019-07-11. The NPPES record was last updated on 2021-01-06.
Practice Location Map
Maynardville Drug Llc is located at 2975 Maynardville Hwy, Maynardville, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Maynardville Drug Llc. All records sourced from the CMS NPPES registry.