Fountain Plaza Pharmacy, Llc
Specialty Pharmacy
2825 W Andrew Johnson Hwy, Morristown
Tennessee, 37814
423-307-5757 423-307-5241
Fountain Plaza Pharmacy, Llc is a Specialty Pharmacy in Morristown, Tennessee. It is located at 2825 W Andrew Johnson Hwy, Morristown and it's customer support contact number is 423-307-5757. The authorized person of Fountain Plaza Pharmacy, Llc is Joseph Huntsman, MBA MA who is Partner & Cfo of the pharmacy and his contact number is 423-736-7976. Active license number of Fountain Plaza Pharmacy, Llc is 4998 for Specialty Pharmacy in Tennessee. Fountain Plaza Pharmacy, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fountain Plaza Pharmacy, Llc is 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.
Pharmacy Details:
Fountain Plaza Pharmacy, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Fountain Plaza Pharmacy, Llc |
| Type: | Specialty Pharmacy |
| Location: | 2825 W Andrew Johnson Hwy, Morristown,
Tennessee, 37814 |
| Phone: | 423-307-5757 |
| Fax: | 423-307-5241 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Joseph Huntsman |
| Credentials: | MBA MA |
| Position: | Partner & Cfo |
| Contact Number: | 423-736-7976 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1821362526 |
| NPI Enumeration Date: | 28 Feb, 2012 |
| NPI Last Update On: | 18 Aug, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fountain Plaza Pharmacy, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialty Pharmacy | 4998 | Tennessee | Primary | |
| Community/Retail Pharmacy | 2018008256 | Missouri | Secondary | |
| Community/Retail Pharmacy | OSP.0006973 | Colorado | Secondary | |
| Community/Retail Pharmacy | 054.020619 | Illinois | Secondary | |
| Community/Retail Pharmacy | 14556 | Mississippi | Secondary | |
| Community/Retail Pharmacy | TN1923 | Kentucky | Secondary | |
| Community/Retail Pharmacy | PHNR001097 | Georgia | Secondary | |
| Community/Retail Pharmacy | 4998 | Tennessee | Secondary | |
| Compounding Pharmacy | 4998 | Tennessee | Secondary | |
| Home Infusion Therapy Pharmacy | | | Secondary | |
| Mail Order Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 103955980001 | Medicaid | Pennsylvania | |
| 1821362526 | Medicaid | Illinois | |
| 4067029 | Medicaid | Utah | |
| 232282407 | Medicaid | Arkansas | |
| 95213 | Medicaid | Arizona | |
| 7Z1164 | Medicaid | Pennsylvania | |
| 2134355 | Other | | Pk |
| 7Z1164 | Medicaid | South Carolina | |
| 2018228689 | Medicaid | Virginia | |
| Q035892 | Medicaid | Tennessee | |
| 300047862 | Medicaid | Indiana | |
| 431597 | Medicaid | Ohio | |
| 574038 | Medicaid | North Carolina | |
| 7100373620 | Medicaid | Kentucky | |
| 9000202940 | Medicaid | Colorado | |
Medicare Enrollment:
Fountain Plaza Pharmacy, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7911151261 | O20130214000069 | Fountain Plaza Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2825 W Andrew Johnson Hwy,
Morristown, Tennessee |
| Zip: | 37814-3216 |
| Phone Number: | 423-307-5757 |
| Fax Number: | 423-307-5241 |
Patients can reach Fountain Plaza Pharmacy, Llc at
2825 W Andrew Johnson Hwy, Morristown, Tennessee or can
call on customer care at 423-307-5757.
Comments/ Reviews:
Read all the reviews posted for Fountain Plaza Pharmacy, Llc below. You may also share your own experience with Fountain Plaza Pharmacy, Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.