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

BOONE DRUGS INC
NPI 1811022569
Pharmacy in Mountain City, TN

Active since February 22, 2007CLIA 44D2233218 · Waiver
1641 S SHADY ST, MOUNTAIN CITY, TN 37683(423) 727-0038 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Mar 7, 2025, Mar 9, 2022 and 2 more (5 updates tracked since 2021).

About Boone Drugs Inc NPPES

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

BOONE DRUGS INC (NPI 1811022569), doing business as Mountain City Pharmacy, is a healthcare organization registered as a pharmacy in Mountain City, Tennessee and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Spencer W Hodges, Vice President, as its authorized official.

NPPES Registry Identity

NPI1811022569
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameBOONE DRUGS INC
Location Address1641 S SHADY STMountain City, TN 37683-2015
Mailing Address345 Deerfield RdBoone, NC 28607-5009 · (828) 355-3365 · Fax (828) 264-0543
Organization SubpartNo
Authorized OfficialSpencer W HodgesVice President · (828) 264-3055
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 14, 20265 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1811022569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in TN · 333600000X
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1641 S SHADY ST, Mountain City, TN 37683

Other Names 1

Doing Business AsMountain City Pharmacy

Other Identifiers 1

Medicaid0445460NC

Accepted 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 44D2233218

Boone Drugs Inc · Mountain City, TN
Active · expires Aug 19, 2027
CLIA Number44D2233218
Laboratory TypePharmacy
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorCorey D. Furman
Laboratory Phone(423) 727-0038
Laboratory LocationBoone Drugs Inc1641 South Shady Street, Mountain City, TN 37683
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
32 services31 patients

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.

Pharmacist
1641 S SHADY ST
MOUNTAIN CITY, TN 37683
Durable Medical Equipment & Medical Supplies
1641 S SHADY ST
MOUNTAIN CITY, TN 37683

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 Boone Drugs Inc's NPI number?

The NPI number for Boone Drugs Inc is 1811022569. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as Mountain City Pharmacy.

Where is Boone Drugs Inc located?

Boone Drugs Inc is located at 1641 S Shady St, Mountain City, TN 37683. The listed phone number is (423) 727-0038.

What is Boone Drugs Inc's specialty?

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

Does Boone Drugs Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2233218) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boone Drugs Inc 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 Boone Drugs 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 Boone Drugs Inc was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.