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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up