Fountainrx

LBN: Fountain Plaza Pharmacy Llc
Fountainrx is an health care organization with primary practice located at 2825 W Andrew Johnson Hwy , Morristown TN 37814. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Fountain Plaza Pharmacy Llc can be contacted via phone (423) 307-5757, or through Huntsman, Joseph via phone (423) 736-7976.

Contact Information

Primary practice address
2825 W Andrew Johnson Hwy Morristown TN 37814
Phone: (423) 307-5757
Fax: (423) 307-5241
Website:
Map and Directions
Authorized official contact:
Name: Huntsman, Joseph MBA MA
Phone: (423) 736-7976

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2018008256 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X OSP.0006973 Colorado
Suppliers / Community/Retail Pharmacy 3336C0003X 054.020619 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 14556 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X TN1923 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X PHNR001097 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X 4998 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X 4998 Tennessee
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X 4998 Tennessee

Profile Details

NPI number 1821362526
LBN Legal business name Fountain Plaza Pharmacy Llc
DBA Doing business as Fountainrx
Authorized official Huntsman, Joseph MBA MA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2012
Last updated Oct 5th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821362526 NPPES
South Carolina MEDICAID 7Z1164
South Carolina MEDICAID 95213
South Carolina MEDICAID 1821362526
South Carolina Other 2134355
South Carolina MEDICAID 4067029
South Carolina MEDICAID 300047862
South Carolina MEDICAID 431597
South Carolina MEDICAID 2018228689
South Carolina MEDICAID 574038
South Carolina MEDICAID 7100373620
South Carolina MEDICAID 9000202940
South Carolina MEDICAID 232282407
South Carolina MEDICAID 7Z1164
South Carolina MEDICAID Q035892
South Carolina MEDICAID 103955980001

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