BH SPECIALTY PHARMACY-KPT
NPI 1548842602
Pharmacy in Kingsport, TN

Active since April 27, 2021
2202 N JOHN B DENNIS HWY, KINGSPORT, TN 37660(423) 434-7443(423) 302-3537 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2022, Apr 27, 2021 (2 updates tracked since 2021).

About Bh Specialty Pharmacy-kpt NPPES

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

BH SPECIALTY PHARMACY-KPT (NPI 1548842602) is a healthcare organization registered as a pharmacy in Kingsport, Tennessee and active in the NPI registry since April 2021. The organization lists Mary Lynn Krutak, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1548842602
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address2202 N JOHN B DENNIS HWYKingsport, TN 37660-5904
Mailing Address2 Professional Park Dr Ste 15Johnson City, TN 37604-6584 · (423) 434-7443 · Fax (423) 302-3537
Fax(423) 302-3537
Organization SubpartNo
Authorized OfficialMary Lynn KrutakEvp/cfo · (423) 302-3423
Enumeration DateApril 27, 2021
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
NPI 1548842602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
2202 N JOHN B DENNIS HWY, Kingsport, TN 37660

Other Names 1

Doing Business AsBh Specialty Pharmacy-kpt

Other Identifiers 1

Medicaid0440176TN

Other Providers at the Same Location NPPES 2

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

Orthopaedic Surgery
2202 N JOHN B DENNIS HWY, SUITE 100
KINGSPORT, TN 37660
Internal Medicine
2202 N JOHN B DENNIS HWY, SUITE 204
KINGSPORT, TN 37660

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 1548842602. It was assigned to this organization in the NPPES registry on April 27, 2021. The provider is doing business as Bh Specialty Pharmacy-Kpt.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 2202 N John B Dennis Hwy, Kingsport, TN 37660. The listed phone number is (423) 434-7443.

What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.