FOUNTAIN PLAZA PHARMACY, LLC – NPI #1821362526
Pharmacy
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.
FOUNTAIN PLAZA PHARMACY, LLC is a pharmacy located in MORRISTOWN, TN. NPPES has assigned the NPI number 1821362526 to FOUNTAIN PLAZA PHARMACY, LLC on February 28, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336S0011X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Specialty Pharmacy Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was last updated on Aug 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOUNTAIN PLAZA PHARMACY, LLC below.
NPI Profile for
FOUNTAIN PLAZA PHARMACY, LLC
(more than 14 years ago)
MORRISTOWN, TN 37814 Phone: (423) 307-5757 Fax: (423) 307-5241
PARTNER & CFO
Phone: (423) 736-7976
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for FOUNTAIN PLAZA PHARMACY, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | PK | 2134355 | |
| medicaid | AR | 232282407 | |
| medicaid | AZ | 95213 | |
| medicaid | CO | 9000202940 | |
| medicaid | IL | 1821362526 | |
| medicaid | IN | 300047862 | |
| medicaid | KY | 7100373620 | |
| medicaid | NC | 574038 | |
| medicaid | OH | 431597 | |
| medicaid | PA | 7Z1164 | |
| medicaid | PA | 103955980001 | |
| medicaid | SC | 7Z1164 | |
| medicaid | TN | Q035892 | |
| medicaid | UT | 4067029 | |
| medicaid | VA | 2018228689 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 3336S0011X - Pharmacy / Specialty Pharmacy (Primary) |
TN | 4998 |
| 3336M0002X - Pharmacy / Mail Order Pharmacy |
||
| 3336H0001X - Pharmacy / Home Infusion Therapy Pharmacy |
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| 3336C0004X - Pharmacy / Compounding Pharmacy |
TN | 4998 |
| 3336C0003X - Pharmacy / Community/Retail Pharmacy |
MO | 2018008256 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.