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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 1801154281
Pharmacy - Community/Retail Pharmacy in Johnson City, TN

Active since April 24, 2012CLIA 44D2290714 · Waiver
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-2140(423) 431-2144 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 9, 2026, Apr 18, 2024, Nov 6, 2019 and 5 more (8 updates tracked since 2016).

About Mountain States Health Alliance NPPES

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

MOUNTAIN STATES HEALTH ALLIANCE (NPI 1801154281), 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 April 2012. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Shane Edwin Hilton, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1801154281
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address400 N STATE OF FRANKLIN RDJohnson City, TN 37604-6035
Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2080 · (423) 434-3113 · Fax (423) 431-2144
Phone(423) 431-2140
Fax(423) 431-2144
Organization SubpartNo
Authorized OfficialShane Edwin HiltonEvp/cfo · (423) 302-3467
Enumeration DateApril 24, 2012
Last NPPES UpdateJuly 9, 20268 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1801154281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TN · 0000004970
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.
400 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Names 1

Doing Business AsBallad Health Pharmacy

Other Identifiers 1

Other2134902Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. 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 44D2290714

Wilson Pharmacy Dba Ballad Health Pharmacy At Jcmc · Johnson City, TN
Active · expires Sep 28, 2027
CLIA Number44D2290714
Laboratory TypePharmacy
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorKimberly H. Nicholson
Laboratory Phone(423) 431-2140
Laboratory LocationWilson Pharmacy Dba Ballad Health Pharmacy At Jcmc400 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.

Other Providers at the Same Location NPPES 20

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

DR. CASEY JAMES WILBERT PHARM.D
Pharmacist
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-2787
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Cardiovascular Disease)
400 N STATE OF FRANKLIN RD, ROOM LK015
JOHNSON CITY, TN 37604
Washington County (423) 431-5965
MITCHELL DESHAZER
Internal Medicine (Critical Care Medicine)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727
DR. ANDREW LEE GIBSON MD
Emergency Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
MCKENZIE PEARL GREGG PA-C, MMS, MPH
Physician Assistant
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
OLUWATOSIN ORIOLA AYANJOKE MD
Family Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
HUNTER DORTON
Student in an Organized Health Care Education/Training Program
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
DR. LEON CHARLES BASS M.D.
Internal Medicine (Pulmonary Disease)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727

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 1801154281. It was assigned to this organization in the NPPES registry on April 24, 2012. The provider is doing business as Ballad Health Pharmacy.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 400 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-2140.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2290714) 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., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Arkansas Blue Cross and Blue Shield and 34 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 47 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.