OrganizationActive
Wilson Pharmacy Inc
NPI 1467567404 · Community/Retail Pharmacy · Johnson City, TN
Wilson Pharmacy Inc is a Community/Retail Pharmacy organization in Johnson City, TN (NPI 1467567404).
Provider details
- NPI number
- 1467567404
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lisa Austin, Avp Reimbursement(423) 431-1941
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
2685 Boones Creek Rd
Ste 105
Johnson City, TN 37615-4722
Phone: (423) 282-6337
Fax: (423) 282-5264
Street-level locationGet directions
Mailing address
311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Other names (DBA / former)
- Doing business as
- Mountain States Pharmacy at Boones Creek
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2017-11-17
Frequently asked questions
- What is Wilson Pharmacy Inc's NPI number?
- Wilson Pharmacy Inc's National Provider Identifier (NPI) is 1467567404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wilson Pharmacy Inc?
- Wilson Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Wilson Pharmacy Inc located?
- Wilson Pharmacy Inc's practice location on file with NPPES is 2685 Boones Creek Rd, Johnson City, TN 37615-4722.
- What is Wilson Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Wilson Pharmacy Inc is (423) 282-6337.
- Who is the authorized official for Wilson Pharmacy Inc?
- The authorized official listed on Wilson Pharmacy Inc's NPPES record is Lisa Austin, Avp Reimbursement. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wilson Pharmacy Inc's NPI active?
- Yes — Wilson Pharmacy Inc's NPI (1467567404) is active in the NPPES registry as of the last update on 2017-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.