NPIMap

Organization Active NPI

Boone Drugs Inc

Doing business as Crossnore Drug

  • Pharmacy
  • Crossnore, NC
National Provider Identifier
1952471716
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
333600000X Issued in NC
Legal business name
BOONE DRUGS INC
Doing business as
Crossnore Drug
Practice address
4263 Linville Falls Hwy
Crossnore, NC 28616
Phone
(828) 733-2486
NPI assigned
Nov 9, 2006
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
Pharmacy 333600000X 333600000X NC Primary

Addresses

Primary practice location

4263 Linville Falls Hwy
Crossnore, NC 28616

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
7704381MedicaidNC

Other names 1

  • Crossnore Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050926000416 NC Part B Supplier - Mass Immunization (Roster Biller Only) 8325072655 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Blowing Rock, NC; Boone, NC; Crossnore, NC; Lenoir, NC
O20100930041737 NC DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered Pharmacist 8325072655 Practice locations: Crossnore, NC

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2232038Boone Drugs Inc4263 Linville Falls Hwy, Crossnore, NC 28616Certificate of waiverAug 9, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Crossnore Drug Store4263 Linville Falls Hwy, Crossnore, NC 28616(828) 733-2486 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Penile Pumps|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgic… Does not accept assignmentParticipating since Oct 1, 1986

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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1952471716",
    "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": "4263 LINVILLE FALLS HWY",
            "city": "CROSSNORE",
            "state": "NC",
            "postal_code": "28616",
            "telephone_number": "828-733-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "333600000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704381",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossnore Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossnore Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crossnore, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.