Organization
FOUNTAIN PLAZA PHARMACY, LLC
Active
Other names
FountainRx
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HUNTSMAN MBA MA (PARTNER & CFO)
(423) 736-7976
Entity
Organization
Contact information
Practice address
2825 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814
(423) 307-5757
(423) 307-5241
Mailing address
2825 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-3216
(423) 307-5757
(423) 307-5241
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
054.020619
IL
3336C0003X
Community/Retail Pharmacy
14556
MS
3336C0003X
Community/Retail Pharmacy
2018008256
MO
3336C0003X
Community/Retail Pharmacy
4998
TN
3336C0003X
Community/Retail Pharmacy
OSP.0006973
CO
3336C0003X
Community/Retail Pharmacy
PHNR001097
GA
3336C0003X
Community/Retail Pharmacy
TN1923
KY
3336C0004X
Compounding Pharmacy
4998
TN
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
4998
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103955980001
—
PA
05
—
1821362526
—
IL
05
—
2018228689
—
VA
01
—
2134355
PK
—
05
—
232282407
—
AR
05
—
300047862
—
IN
05
—
4067029
—
UT
05
—
431597
—
OH
05
—
574038
—
NC
05
—
7100373620
—
KY
05
—
7Z1164
—
PA
05
—
7Z1164
—
SC
05
—
9000202940
—
CO
05
—
95213
—
AZ
05
—
Q035892
—
TN
Enumeration date
02/28/2012
Last updated
08/18/2025
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