BOONES CREEK PHARMACY, INC.
NPI 1770199432
Pharmacy - Long Term Care Pharmacy in Johnson City, TN

Q: What is Boones Creek Pharmacy, Inc.'s NPI number?

The NPI number for Boones Creek Pharmacy, Inc. is 1770199432. It was assigned to this organization in the NPPES registry on September 18, 2020.

Q: What is Boones Creek Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since September 18, 2020

4729 N ROAN ST STE 2, JOHNSON CITY, TN 37615(423) 283-0911(423) 283-0990 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Apr 7, 2023, Sep 18, 2020 (3 updates tracked since 2020).

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About Boones Creek Pharmacy, Inc. NPPES

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

BOONES CREEK PHARMACY, INC. (NPI 1770199432) is a healthcare organization registered as a long term care pharmacy in Johnson City, Tennessee and active in the NPI registry since September 2020. The organization lists Caden Walker Cox, Pic, as its authorized official.

NPPES Registry Identity

NPI1770199432

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameBOONES CREEK PHARMACY, INC.

Location Address4729 N ROAN ST STE 2Johnson City, TN 37615-3886

Mailing Address4729 N Roan St Ste 2Johnson City, TN 37615-3733 · (423) 283-0911 · Fax (423) 283-0990

Phone(423) 283-0911

Fax(423) 283-0990

Organization SubpartNo

Authorized OfficialCaden Walker CoxPic · (423) 283-0911

Enumeration DateSeptember 18, 2020

Last NPPES UpdateApril 28, 20263 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1770199432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

4729 N ROAN ST STE 2, Johnson City, TN 37615

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Other Identifiers 1

MedicaidQ036582TN

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

CADEN WALKER COX PHARMD

Pharmacist

4729 N ROAN ST STE 2
JOHNSON CITY, TN 37615

Washington County (423) 283-0911

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 Boones Creek Pharmacy, Inc.'s NPI number?

The NPI number for Boones Creek Pharmacy, Inc. is 1770199432. It was assigned to this organization in the NPPES registry on September 18, 2020.

Where is Boones Creek Pharmacy, Inc. located?

Boones Creek Pharmacy, Inc. is located at 4729 N Roan St Ste 2, Johnson City, TN 37615. The listed phone number is (423) 283-0911.

What is Boones Creek Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Boones Creek Pharmacy, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 26 other insurers list Boones Creek Pharmacy, Inc. 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 Boones Creek Pharmacy, Inc. was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.