NPIMap

Organization Active NPI

Fountain Plaza Pharmacy LLC

Doing business as FountainRx

  • Long Term Care Pharmacy
  • Morristown, TN
National Provider Identifier
1992567234
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FOUNTAIN PLAZA PHARMACY LLC
Doing business as
FountainRx
Practice address
2825 W Andrew Johnson Hwy
Morristown, TN 37814-3216
Phone
(423) 307-5757
Fax
(423) 307-5241
NPI assigned
Jan 23, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Joseph Huntsman
Title
Ceo
Phone
(423) 307-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

2825 W Andrew Johnson Hwy
Morristown, TN 37814-3216

Mailing address

2825 W Andrew Johnson Hwy
Morristown, TN 37814-3216
Phone (423) 307-5757

Other names 1

  • FountainRx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fountain Plaza Pharmacy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1992567234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143216",
            "telephone_number": "423-307-5757",
            "fax_number": "423-307-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143216",
            "telephone_number": "423-307-5757",
            "fax_number": "423-307-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN PLAZA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "HUNTSMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-307-5757"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FountainRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.