Fountainrx

Specialty Pharmacy Accepts Medicare


  
  2825 W Andrew Johnson Hwy, Morristown
Tennessee, 37814

 423-307-5757    423-307-5241
Fountainrx is a Specialty Pharmacy in Morristown, Tennessee. This pharmacy is owned and operated by Fountain Plaza Pharmacy Llc. 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 Fountainrx is Joseph Huntsman, MBA MA who is Partner & Cfo of the pharmacy and his contact number is 423-736-7976. Active license number of Fountainrx is 4998 for Specialty Pharmacy in Tennessee. Fountainrx accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fountainrx 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:
Fountainrx 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: Fountainrx
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: 05 Oct, 2022

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fountainrx are as mentioned below.
SpecializationLicense NumberStateStatus
Specialty Pharmacy 4998TennesseePrimary
Community/Retail Pharmacy 2018008256MissouriSecondary
Community/Retail Pharmacy OSP.0006973ColoradoSecondary
Community/Retail Pharmacy 054.020619IllinoisSecondary
Community/Retail Pharmacy 14556MississippiSecondary
Community/Retail Pharmacy TN1923KentuckySecondary
Community/Retail Pharmacy PHNR001097GeorgiaSecondary
Community/Retail Pharmacy 4998TennesseeSecondary
Compounding Pharmacy 4998TennesseeSecondary
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.
IdentifierTypeStateIssuer
7Z1164MedicaidSouth Carolina
95213MedicaidArizona
1821362526MedicaidIllinois
2134355OtherPk
4067029MedicaidUtah
300047862MedicaidIndiana
431597MedicaidOhio
2018228689MedicaidVirginia
574038MedicaidNorth Carolina
7100373620MedicaidKentucky
9000202940MedicaidColorado
232282407MedicaidArkansas
7Z1164MedicaidPennsylvania
Q035892MedicaidTennessee
103955980001MedicaidPennsylvania
Medicare Enrollment:
Fountainrx is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
7911151261O20130214000069Fountain Plaza Pharmacy LlcPART 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 Fountainrx at 2825 W Andrew Johnson Hwy, Morristown, Tennessee or can call on customer care at 423-307-5757.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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