Organization Active NPI

Boone Drugs Inc

Doing business as Village Pharmacy

  • Pharmacy
  • Blowing Rock, NC
National Provider Identifier
1386105336
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BOONE DRUGS INC
Doing business as
Village Pharmacy
Practice address
200 Shoppes on the Parkway Rd
Blowing Rock, NC 28605-9973
Phone
(828) 295-3482
Fax
(828) 264-0543
NPI assigned
Mar 30, 2019
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Spencer W Hodges, PHARMDNPI 1568051969
Title
Vice President
Phone
(828) 264-3055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

200 Shoppes on the Parkway Rd
Blowing Rock, NC 28605-9973

Mailing address

345 Deerfield Rd
Boone, NC 28607-5009
Phone (828) 355-3365

Other identifiers 1

IdentifierTypeStateIssuer
7704326MedicaidNC

Other names 1

  • VILLAGE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain City Pharmacy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Shoppes on the Parkway Rd
Blowing Rock, NC 28605
Phone (828) 295-3482

625 Chestnut Ridge Pkwy
Blowing Rock, NC 28605

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1386105336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075009",
            "telephone_number": "828-355-3365",
            "fax_number": "828-264-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SHOPPES ON THE PARKWAY RD",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286059973",
            "telephone_number": "828-295-3482",
            "fax_number": "828-264-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-30",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "828-264-3055",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704326",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blowing Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.