Mountain States Health Alliance
Pharmacy
2000 Brookside Dr, Kingsport
Tennessee, 37660-4627
423-343-1460 423-610-3362
Mountain States Health Alliance is not a DME supplier for medicare equipments and products.
Mountain States Health Alliance is a Pharmacy in Kingsport, Tennessee. It is located at 2000 Brookside Dr, Kingsport and it's customer support contact number is 423-343-1460. The authorized person of Mountain States Health Alliance is Shane Edwin Hilton who is Evp/cfo of the pharmacy and his contact number is 423-302-3467.
Mountain States Health Alliance is 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.
Pharmacy Details:
Mountain States Health Alliance type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mountain States Health Alliance |
| Type: | Pharmacy |
| Location: | 2000 Brookside Dr, Kingsport, Tennessee, 37660-4627 |
| Phone: | 423-343-1460 |
| Fax: | 423-610-3362 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Shane Edwin Hilton |
| Position: | Evp/cfo |
| Contact Number: | 423-302-3467 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1518545573 |
| NPI Enumeration Date: | 31 Mar, 2021 |
| NPI Last Update On: | 17 Apr, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountain States Health Alliance are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | Primary | |
| Specialty Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0440176 | Medicaid | Tennessee | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2 Professional Park Dr Ste 15, Johnson City, Tennessee |
| Zip: | 37604-6584 |
| Phone Number: | 423-434-7443 |
| Fax Number: | 423-302-3537 |
Patients can reach Mountain States Health Alliance at
2000 Brookside Dr, Kingsport, Tennessee or can
call on customer care at 423-343-1460.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.