OrganizationActive
Wilson Pharmacy, Inc
NPI 1477728491 · Home Infusion Therapy Pharmacy · Johnson City, TN
Provider details
- NPI number
- 1477728491
- Entity type
- Organization
- Primary specialty
- Home Infusion Therapy PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lisa Austin, Avp Reimbursement(423) 431-1941
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
523 N State of Franklin Rd Ste B
Johnson City, TN 37604-8210
Phone: (423) 926-6154
Fax: (423) 232-9875
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 Home Infusion Therapy
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 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.