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Mountain States Health Alliance

NPI 1518545573ActiveOrganization· Pharmacy· Kingsport, TN

Pharmacy in Kingsport, Tennessee, registered in NPPES in March 2021. The authorized official on file is Shane Edwin Hilton, Evp/Cfo.

Overview

NPI1518545573
StatusActive
Entity typeOrganization
NPI issuedMar 31, 2021
Last updated in NPPESApr 17, 2024
Certified by providerApr 17, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——
Pharmacy, Specialty Pharmacy3336S0011X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in Kingsport

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