Fountainrx is an authorized DME supplier for medicare equipments and products.
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.
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
7Z1164
Medicaid
South Carolina
95213
Medicaid
Arizona
1821362526
Medicaid
Illinois
2134355
Other
Pk
4067029
Medicaid
Utah
300047862
Medicaid
Indiana
431597
Medicaid
Ohio
2018228689
Medicaid
Virginia
574038
Medicaid
North Carolina
7100373620
Medicaid
Kentucky
9000202940
Medicaid
Colorado
232282407
Medicaid
Arkansas
7Z1164
Medicaid
Pennsylvania
Q035892
Medicaid
Tennessee
103955980001
Medicaid
Pennsylvania
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 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 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 11 March, 2024.
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