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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOUNTAIN STATES HEALTH ALLIANCE
NPI 1407867070
Pharmacy - Community/Retail Pharmacy in Johnson City, TN

Active since August 10, 2006CLIA 44D2290710 · Waiver
523 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 926-6154(423) 926-5571 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Apr 18, 2024, Jul 1, 2019 and 4 more (7 updates tracked since 2017).

About Mountain States Health Alliance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN STATES HEALTH ALLIANCE (NPI 1407867070), doing business as Ballad Health Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Johnson City, Tennessee and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Shane Hilton, Ao, as its authorized official.

NPPES Registry Identity

NPI1407867070
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address523 N STATE OF FRANKLIN RDJohnson City, TN 37604-8210
Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2080 · (423) 434-3101 · Fax (423) 431-1244
Phone(423) 926-6154
Fax(423) 926-5571
Organization SubpartNo
Authorized OfficialShane HiltonAo · (423) 431-5794
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 9, 20267 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1407867070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TN · 0000000490
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
523 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Names 1

Doing Business AsBallad Health Pharmacy

Other Identifiers 2

Medicaid3516186TN
Other2095601Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2290710

Wilson Pharmacy Dba Ballad Health Pharmacy At Johnson City · Johnson City, TN
Active · expires Sep 28, 2027
CLIA Number44D2290710
Laboratory TypePharmacy
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorKimberly H. Nicholson
Laboratory Phone(423) 926-6154
Laboratory LocationWilson Pharmacy Dba Ballad Health Pharmacy At Johnson City523 N State Of Franklin Road, Johnson City, TN 37604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 15

Medicare supplier enrollment and the product categories Ballad Health Pharmacy carries, from the Medicare DMEPOS supplier directory.

Ballad Health Pharmacy

DMEPOS supplier · Johnson City, TNOperated by Wilson Pharmacy Inc
✔

Accepts Medicare assignment

Ballad Health Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20618021
Medicare Participant SinceJanuary 3, 2001
Supplier Location523 N State Of Franklin RdJohnson City, TN 37604
Phone(423) 926-6154
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN N. TANKERSLEY PHARMD
Pharmacist
523 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-4663
BARBARA JOHNSON PHARMD
Pharmacist
523 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-6154
ANGELICA PHILLIPS VAN HEEMSTEDE OBELT PHARMD
Pharmacist
523 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-6154
WILSON PHARMACY, INC
Durable Medical Equipment & Medical Supplies
523 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-6154
SARAH WHALEY PHARMD, PHD
Pharmacist
523 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-4663
GARY SURBER PHARM.D.
Pharmacist
523 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-6154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain States Health Alliance's NPI number?

The NPI number for Mountain States Health Alliance is 1407867070. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Ballad Health Pharmacy.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 523 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 926-6154.

What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Mountain States Health Alliance accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Ballad Health Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Mountain States Health Alliance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2290710) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain States Health Alliance accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Mountain States Health Alliance as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.