Active NPI
Maynardville Drug LLC
- Long Term Care Pharmacy
- Maynardville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MAYNARDVILLE DRUG LLC
- Practice address
- 2975 Maynardville Hwy
Maynardville, TN 37807-3262 - Phone
- (865) 658-5353
- Fax
- (865) 658-5353
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Organization subpart
- Yes
- Parent organization
- MAYNARDVILLE DRUG LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Simmons Halford, PHARM D
- Title
- Pharmacy Manager
- Phone
- (865) 278-7895
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
2975 Maynardville Hwy
Maynardville, TN 37807-3262
Mailing address
PO Box 990
New Tazewell, TN 37824-0990
Phone (865) 658-5353
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Maynardville, TN
- NPI 1053963975
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Maynardville, TN
- NPI 1366847071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1972417137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 990",
"city": "NEW TAZEWELL",
"state": "TN",
"postal_code": "378240990",
"telephone_number": "865-658-5353",
"fax_number": "865-658-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 MAYNARDVILLE HWY",
"city": "MAYNARDVILLE",
"state": "TN",
"postal_code": "378073262",
"telephone_number": "865-658-5353",
"fax_number": "865-658-5353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYNARDVILLE DRUG LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAYNARDVILLE DRUG LLC",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "HALFORD",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "SIMMONS",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "865-278-7895",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maynardville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.