FOUNTAIN PLAZA PHARMACY LLC (NPI# 1821362526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821362526 |
Entity Type | Organization |
Organization Name | FOUNTAIN PLAZA PHARMACY LLC |
Other Organization Name | FOUNTAINRX |
Practice Address |
2825 W Andrew Johnson Hwy Morristown TN 37814 |
Mailing Address |
2825 W Andrew Johnson Hwy Morristown TN 37814-3216 |
Practice Telephone | 4233075757 |
Practice Fax Number | 4233075241 |
Mailing Telephone | 4233075757 |
Mailing Fax Number | 4233075241 |
Enumeration Date | 2012-02-28 |
Last Update Date | 2020-05-07 |
Authorized Official Name | JOSEPH HUNTSMAN (PARTNER & CFO) |
Authorized Official Telephone | 4237367976 |
Authorized Official Credential | MBA MA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
14556 | MS | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
22-104372/5.1 | KS | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PCN.0003302 | CT | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHA-MOP-LIC-5052 | MT | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
TN1923 | KY | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHNR001097 | GA | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07867 | MD | Suppliers |
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
4998 | TN | Suppliers |
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
4998 | TN | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054.020619 | IL | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
265435 | MN | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
NRX1801312 | DC | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2018008256 | MO | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
OSP.000697 | CO | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4998 | TN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2134355 | 01 | |
AR | 232282407 | 05 | |
NC | 574038 | 05 | |
TN | Q035892 | 05 | |
KY | 7100373620 | 05 | |
VA | 2018228689 | 05 |
Other Name | Type Code |
---|---|
Fountain Plaza Pharmacy | Doing Business As Name - Organization |
FountainRX | Doing Business As Name - Organization |
Street Address |
2825 W ANDREW JOHNSON HWY |
City | MORRISTOWN |
State | TN |
Zip Code | 37814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932410685 | Brandon Martin | Pharmacist | 2825 W Andrew Johnson Hwy, Morristown, TN 37814-3216 | 2010-06-28 |
1366072159 | Brookwell Health LLC | Clinic/Center | 2825 W Andrew Johnson Hwy, Morristown, TN 37814-3216 | 2020-01-21 |
1629624978 | Laura Elizabeth Dollins | Pharmacist | 2825 W Andrew Johnson Hwy, Morristown, TN 37814-3216 | 2019-08-13 |
1629389911 | Ryan Hollingsworth | Pharmacist | 2825 W Andrew Johnson Hwy, Morristown, TN 37814-3216 | 2010-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
1669942207 | Amanda Madeline Still | Case Manager/Care Coordinator | 310 West Third North Street, Morristown, TN 37814 | 2018-11-27 |
1750858353 | April Caroline Lankford | Case Manager/Care Coordinator | 310 W 3rd North Street, Morristown, TN 37814 | 2018-11-01 |
1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
1770084303 | Janine Barnett | Case Manager/Care Coordinator | 210 W. 3rd North Street, Morristown, TN 37814 | 2018-02-28 |
1831616655 | Genoa Healthcare, LLC | Pharmacy | 310 W 3rd North St Ste Pharm, Morristown, TN 37814 | 2017-08-23 |
1124542113 | Jenny Lothamer Withem | Speech-Language Pathologist | 6205 Wintergreen Rd, Morristown, TN 37814 | 2017-08-01 |
1568998011 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Drive, Morristown, TN 37814 | 2017-05-03 |
1225587157 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Dr., Morristown, TN 37814 | 2016-10-04 |
1225406317 | Alps Adult Day Services | Clinic/Center | 600 N. Daisy St., Morristown, TN 37814 | 2015-09-08 |
Find all providers in zip 37814 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881292894 | Morristown Rx LLC | Pharmacy | 95 Madison Ave Ste 110, Morristown, NJ 07960-7331 | 2020-10-12 |
1093283624 | Kbb Services LLC | Pharmacy | 129 E Main Street, Morristown, IN 46161 | 2018-11-13 |
1912398967 | Wal-mart Stores East Lp | Pharmacy | 4331 W Andrew Johnson Hwy, Morristown, TN 37814-1036 | 2015-02-12 |
1154424794 | Tennessee Cvs Pharmacy LLC | Pharmacy | 2114 Eandrew Johnson Hwy, Morristown, TN 37814 | 2006-09-07 |
1114020815 | Tennessee Cvs Pharmacy LLC | Pharmacy | 2008 W Andrew Johnson Hwy, Morristown, TN 37814-3202 | 2006-09-07 |
1710344908 | Bunch Medical LLC | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813-2828 | 2016-01-20 |
1083058143 | Ahs Hospital Corp | Pharmacy | 100 Madison Ave, Retail Pharmacy, Morristown, NJ 07962 | 2013-04-19 |
1750628962 | Ingles Markets Inc | Pharmacy | 3980 W Andrew Johnson Hwy, Morristown, TN 37814-1103 | 2013-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
Find all providers with the same taxonomy |
City | MORRISTOWN |
Zip Code | 37814 |
Please comment or provide details below to improve the information on FOUNTAIN PLAZA PHARMACY LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.