Boones Creek Pharmacy, Inc.
NPI 1073940334 · Community/Retail Pharmacy · Johnson City, TN
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boones Creek Pharmacy, Inc. is a Community/Retail Pharmacy organization in Johnson City, TN (NPI 1073940334).
Provider details
- NPI number
- 1073940334
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Caden Cox, Owner/Pic(423) 283-0911
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
156 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 81 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 57 | $28 |
| Administration of Pneumococcal VaccineG0009 | 18 | $30 |
Typical Medicare-allowed amounts for these services range $28–$30 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Boones Creek Pharmacy
- Doing business as
- Boones Creek Pharmacy
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Frequently asked questions
- What is Boones Creek Pharmacy, Inc.'s NPI number?
- Boones Creek Pharmacy, Inc.'s National Provider Identifier (NPI) is 1073940334, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boones Creek Pharmacy, Inc.?
- Boones Creek Pharmacy, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Boones Creek Pharmacy, Inc. located?
- Boones Creek Pharmacy, Inc.'s practice location on file with NPPES is 4729 N Roan St, Johnson City, TN 37615-3886.
- What is Boones Creek Pharmacy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Boones Creek Pharmacy, Inc. is (423) 283-0911.
- Does Boones Creek Pharmacy, Inc. accept Medicare?
- Boones Creek Pharmacy, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boones Creek Pharmacy, Inc.?
- The authorized official listed on Boones Creek Pharmacy, Inc.'s NPPES record is Caden Cox, Owner/Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boones Creek Pharmacy, Inc.'s NPI active?
- Yes — Boones Creek Pharmacy, Inc.'s NPI (1073940334) is active in the NPPES registry as of the last update on 2026-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.