FOUNTAIN PLAZA PHARMACY, LLC
NPI 1821362526
Pharmacy - Specialty Pharmacy in Morristown, TN

Active since February 28, 2012CLIA 44D2146989 · Waiver
2825 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814(423) 307-5757(423) 307-5241 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2022, Jul 7, 2022, May 24, 2022 and 9 more (12 updates tracked since 2015).

About Fountain Plaza Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNTAIN PLAZA PHARMACY, LLC (NPI 1821362526), doing business as Fountainrx, is a healthcare organization registered as a specialty pharmacy in Morristown, Tennessee and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists Joseph Huntsman, Partner & Cfo, as its authorized official.

NPPES Registry Identity

NPI1821362526
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameFOUNTAIN PLAZA PHARMACY, LLC
Location Address2825 W ANDREW JOHNSON HWYMorristown, TN 37814
Mailing Address2825 W Andrew Johnson HwyMorristown, TN 37814-3216 · (423) 307-5757 · Fax (423) 307-5241
Fax(423) 307-5241
Organization SubpartNo
Authorized OfficialJoseph HuntsmanPartner & Cfo · (423) 736-7976
Enumeration DateFebruary 28, 2012
Last NPPES UpdateAugust 18, 202512 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
NPI 1821362526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
License Licensed in TN · 4998
Definition
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 2018008256 (MO), OSP.0006973 (CO), 054.020619 (IL), 14556 (MS), TN1923 (KY), PHNR001097 (GA), 4998 (TN)
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X · License 4998 (TN)
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
2825 W ANDREW JOHNSON HWY, Morristown, TN 37814

Other Names 1

Doing Business AsFountainrx

Other Identifiers 15

Medicaid103955980001PA
Medicaid1821362526IL
Medicaid4067029UT
Medicaid232282407AR
Medicaid95213AZ
Medicaid7Z1164PA
Other2134355Pk
Medicaid7Z1164SC
Medicaid2018228689VA
MedicaidQ035892TN
Medicaid300047862IN
Medicaid431597OH
Medicaid574038NC
Medicaid7100373620KY
Medicaid9000202940CO

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2146989

Fountain Plaza Pharmacy · Morristown, TN
Active · expires Apr 9, 2028
CLIA Number44D2146989
Laboratory TypePharmacy
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorBrandon L. Martin
Laboratory Phone(423) 307-5757
Laboratory LocationFountain Plaza Pharmacy2825 W Andrew Johnson Hwy, Morristown, TN 37814
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
2825 W ANDREW JOHNSON HWY
MORRISTOWN, TN 37814
Pharmacist
2825 W ANDREW JOHNSON HWY
MORRISTOWN, TN 37814
Pharmacist
2825 W ANDREW JOHNSON HWY
MORRISTOWN, TN 37814
Pharmacist
2825 W ANDREW JOHNSON HWY
MORRISTOWN, TN 37814
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2825 W ANDREW JOHNSON HWY
MORRISTOWN, TN 37814
Pharmacy (Specialty Pharmacy)
2825 W ANDREW JOHNSON HWY
MORRISTOWN, TN 37814
Pharmacy (Long Term Care Pharmacy)
2825 W ANDREW JOHNSON HWY
MORRISTOWN, TN 37814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fountain Plaza Pharmacy, LLC's NPI number?

The NPI number for Fountain Plaza Pharmacy, LLC is 1821362526. It was assigned to this organization in the NPPES registry on February 28, 2012. The provider is doing business as FountainRx.

Where is Fountain Plaza Pharmacy, LLC located?

Fountain Plaza Pharmacy, LLC is located at 2825 W Andrew Johnson Hwy, Morristown, TN 37814. The listed phone number is (423) 307-5757.

What is Fountain Plaza Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Does Fountain Plaza Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2146989) is associated with this NPI, valid through April 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fountain Plaza Pharmacy, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 38 other insurers list Fountain Plaza Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fountain Plaza Pharmacy, LLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.