Fountain Plaza Pharmacy Llc is a Specialty Pharmacy based in Morristown, TN and is specialized in Specialty Pharmacy. Fountain Plaza Pharmacy Llc practices in Morristown, TN. The NPI Number for Fountain Plaza Pharmacy Llc is 1821362526 and holds a License No. 2018008256 (Tennessee).
The current practice location address for Fountain Plaza Pharmacy Llc is 2825 W Andrew Johnson Hwy, Morristown, TN and can be reached out via phone at 423-307-5757 and via fax at 423-307-5241.
Location: 2825 W Andrew Johnson Hwy, Morristown, TN, 37814-3216
Provider Profile Details
NPI Number
1821362526
Provider Name
Fountain Plaza Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
2825 W Andrew Johnson Hwy, Morristown, TN, 37814-3216
Phone Number
423-307-5757
Fax Number
423-307-5241
Provider Enumeration Date
02/28/2012
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7Z1164 | 05 | SC | |
| 95213 | 05 | AZ | |
| 1821362526 | 05 | IL | |
| 2134355 | 01 | PK | |
| 4067029 | 05 | UT | |
| 300047862 | 05 | IN | |
| 431597 | 05 | OH | |
| 2018228689 | 05 | VA | |
| 574038 | 05 | NC | |
| 7100373620 | 05 | KY | |
| 9000202940 | 05 | CO | |
| 232282407 | 05 | AR | |
| 7Z1164 | 05 | PA | |
| Q035892 | 05 | TN | |
| 103955980001 | 05 | PA |
Provider Business Practice Location Address Details
Address
2825 W Andrew Johnson Hwy
City
State
Zip
37814
Phone Number
423-307-5757
Fax Number
423-307-5241
Provider Business Mailing Address Details
Address
2825 W Andrew Johnson Hwy
City
State
Zip
37814
Phone Number
423-307-5757
Fax Number
423-307-5241
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
TN1923 (Kentucky)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
14556 (Mississippi)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
License No.
054.020619 (Illinois)
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Mail Order Pharmacy
Taxonomy
License No.
OSP.0006973 (Colorado)
Definition
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
License No.
2018008256 (Missouri)
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.
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