MOUNTAIN STATES PHARMACY AT BOONES CREEK
NPI 1467567404
Pharmacy - Community/Retail Pharmacy in Johnson City, TN

Q: What is Wilson Pharmacy Inc's NPI number?

The NPI number for Wilson Pharmacy Inc is 1467567404. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Mountain States Pharmacy At Boones Creek.

Q: What is Wilson Pharmacy Inc's specialty?

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

Active since August 20, 2006

2685 BOONES CREEK RD, STE 105, JOHNSON CITY, TN 37615(423) 282-6337(423) 282-5264 Get Directions Write a Review

NPPES record last updated: November 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mountain States Pharmacy At Boones Creek NPPES

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

MOUNTAIN STATES PHARMACY AT BOONES CREEK (NPI 1467567404) 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 lists Lisa Austin, Avp Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1467567404

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWILSON PHARMACY INC

Location Address2685 BOONES CREEK RD, STE 105Johnson City, TN 37615-4722

Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2026 · (423) 926-6154 · Fax (423) 926-7965

Phone(423) 282-6337

Fax(423) 282-5264

Organization SubpartNo

Authorized OfficialLisa AustinAvp Reimbursement · (423) 431-1941

Enumeration DateAugust 20, 2006

Last NPPES UpdateNovember 17, 2017

✔ NPI 1467567404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TN · 4307

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

2685 BOONES CREEK RD, Johnson City, TN 37615

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Other Names 1

Doing Business AsMountain States Pharmacy At Boones Creek

Other Identifiers 2

Medicaid9440037TN

Other2095039Pk

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 Wilson Pharmacy Inc's NPI number?

The NPI number for Wilson Pharmacy Inc is 1467567404. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Mountain States Pharmacy At Boones Creek.

Where is Wilson Pharmacy Inc located?

Wilson Pharmacy Inc is located at 2685 Boones Creek Rd Ste 105, Johnson City, TN 37615. The listed phone number is (423) 282-6337.

What is Wilson Pharmacy Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Wilson Pharmacy Inc was last updated on November 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.