Fountain Square Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

FOUNTAIN SQUARE PHARMACY

Doing business as

Fountain Square Pharmacy LTC

Practice address

1928 Cumberland Ave
Middlesboro, KY 40965-1231

Phone

(606) 248-4444

Fax

(606) 248-6598

NPI assigned

Aug 6, 2024

Last updated

Aug 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maurice McGlone, PHARMD

Title

Pharmacist/Owner

Phone

(606) 248-4444

Specialties & licenses 1

Addresses

Other names 2

• Fountain Square Pharmacy LTC Doing business as
• Fountain Square Pharmacy Former legal business name

Locations

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1720818511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651231",
            "telephone_number": "606-248-4444",
            "fax_number": "606-248-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651231",
            "telephone_number": "606-248-4444",
            "fax_number": "606-248-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN SQUARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "MCGLONE",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "606-248-4444",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain Square Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fountain Square Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ashley N. Fultz, APRN, FNP-BC
• Ethan Blake Gambrel, PT, DPT
• Michelle A Garrett, O.D.
• Deborah L. Gever, MD

• Long Term Care Pharmacy in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Long Term Care Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.