Fountain Plaza Pharmacy Llc, NPI 1821362526
Specialty Pharmacy in Morristown, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1821362526
NPI Entity Type Organization
Provider Name Fountain Plaza Pharmacy Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2825 W Andrew Johnson Hwy, Morristown, TN, US
Provider Mailing Address 2825 W Andrew Johnson Hwy, Morristown, TN, US, 378143216
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MBA MA Joseph Huntsman
Official Position PARTNER & CFO
Phone 423-736-7976

Primary Taxonomy

Taxonomy Code

3336S0011X

Taxonomy Name Specialty Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 4998
License State TN
Description A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

Other Organization Name

FountainRX
Doing Business As

Business Address

Fountain Plaza Pharmacy Llc
2825 W Andrew Johnson Hwy

Morristown, TN, US

Phone: 423-307-5757
Fax: 423-307-5241

Mailing Address

Fountain Plaza Pharmacy Llc
2825 W Andrew Johnson Hwy
Morristown, TN, US
ZIP 378143216
Phone: 423-307-5757
Fax: 423-307-5241

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0003X

Suppliers

Pharmacy

2018008256 MO No

3336C0003X

Suppliers

Pharmacy

OSP.0006973 CO No

3336C0003X

Suppliers

Pharmacy

054.020619 IL No

3336C0003X

Suppliers

Pharmacy

14556 MS No

3336C0003X

Suppliers

Pharmacy

TN1923 KY No

3336C0003X

Suppliers

Pharmacy

PHNR001097 GA No

3336C0003X

Suppliers

Pharmacy

4998 TN No

3336C0004X

Suppliers

Pharmacy

4998 TN No

3336H0001X

Suppliers

Pharmacy

No

3336M0002X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
7Z1164 SC MEDICAID 05
95213 AZ MEDICAID 05
1821362526 IL MEDICAID 05
2134355 PK 01
4067029 UT MEDICAID 05
300047862 IN MEDICAID 05
431597 OH MEDICAID 05
2018228689 VA MEDICAID 05
574038 NC MEDICAID 05
7100373620 KY MEDICAID 05
9000202940 CO MEDICAID 05
232282407 AR MEDICAID 05
7Z1164 PA MEDICAID 05
Q035892 TN MEDICAID 05
103955980001 PA MEDICAID 05

Other Providers in TN, US

NPI Name Taxonomy Address

1417615469

MRS. RN Emily Rae Johnson

Individual

Critical Care Medicine Registered Nurse

315 Hospital Dr

Madison, TN

1144944927

PHARMD Rebecca Brittany Clegg

Individual

Pharmacist

1430 S Roan St

Johnson City, TN

1538605498

Christopher Byrd

Individual

Pharmacist

4221 Maynardville Hwy

Maynardville, TN

1154882843

MD Shalacia Palmer Leblanc

Individual

Family Medicine Physician

3400 Lebanon Rd

Murfreesboro, TN

1306575014

DR. DNP, CRNA Mark Timothy Cresap

Individual

Certified Registered Nurse Anesthetist

7357 Lucky Clover Ln

Knoxville, TN

1366099269

Khumalo Foot And Ankle Clinic, Inc

Organization

Foot & Ankle Surgery Podiatrist

1109 E Reelfoot Ave Ste D

Union City, TN

1154053643

CCC-SLP Azjah Watson

Individual

Speech-Language Pathologist

70 Timber Creek Dr

Cordova, TN

1841915113

MS. DNP Ala'a Mitoubsi

Individual

Nurse Practitioner

1926 Alcoa Hwy

Knoxville, TN

1215652680

NEMT Olivia Williams

Individual

Non-emergency Medical Transport (VAN)

8097 Waterford Cir Apt 204

Memphis, TN

1306561774

Megan Nichole Trujillo

Individual

Behavior Technician

2740 Saint Andrews Dr

Murfreesboro, TN

1598727380

M.D. David D. Buckman

Individual

Family Medicine Physician

2320 Wilma Rudolph Blvd.

Clarksville, TN

1437874807

Ashley Myers

Individual

Registered Nurse

1211 Medical Center Dr

Nashville, TN

1477278844

Jessica Gomez

Individual

Behavior Technician

1727 N Germantown Pkwy Ste 107

Cordova, TN

1881736122

Park Center

Organization

Adult Mental Health Clinic/Center

1935 21st Ave S

Nashville, TN

1174056428

DR. M.D. Melissa Lynn Mckittrick

Individual

Pain Medicine (Anesthesiology) Physician

3400 Lebanon Rd

Murfreesboro, TN

1083339444

FNP-BC Misty Renee Nichols

Individual

Family Nurse Practitioner

2216 Rainbow Ln

New Market, TN

1376569210

MD Douglas Todd Cannon

Individual

Physical Medicine & Rehabilitation Physician

8000 Centerview Pkwy

Suite 500

Cordova, TN

1386369734

Dovamed Medical

Organization

Durable Medical Equipment & Medical Supplies

545 Mainstream Dr Ste 102

Nashville, TN

1487379830

Taylor Woods

Individual

Registered Nurse

6019 Walnut Grove Rd

Memphis, TN

1285909903

MRS. PA-C Brittany C Smith

Individual

Physician Assistant

1265 Union Ave

Memphis, TN

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