FOUNTAIN PLAZA PHARMACY, LLC
FOUNTAIN PLAZA PHARMACY, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1821362526, based in Morristown, TN. The organization lists 5 taxonomy classifications, with Specialty Pharmacy recorded as primary.
Getting there
The practice address on file is 2825 W ANDREW JOHNSON HWY, Morristown, TN 37814. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4998 | TN | Specialty Pharmacy primary |
| 2018008256 | MO | Community/Retail Pharmacy |
| OSP.0006973 | CO | Community/Retail Pharmacy |
| 054.020619 | IL | Community/Retail Pharmacy |
| 14556 | MS | Community/Retail Pharmacy |
| TN1923 | KY | Community/Retail Pharmacy |
| PHNR001097 | GA | Community/Retail Pharmacy |
| 4998 | TN | Community/Retail Pharmacy |
| 4998 | TN | Compounding Pharmacy |
Licences are recorded in 7 states: TN, MO, CO, IL, MS, KY, GA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Part B Supplier - Mass Immunization (roster Biller Only)
- PAC ID
- 7911151261
Enrolled in Medicare 3 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Tennessee | O20130214000069 | Part B Supplier - Mass Immunization (roster Biller Only) |
| Tennessee | O20180827003185 | Dme Supplier - Pharmacy |
| Tennessee | O20251126004160 | Part B Supplier - Pharmacy |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). There are 3 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 7 states
This provider holds licences in 7 states: Colorado, Georgia, Illinois, Kentucky, Missouri, Mississippi and Tennessee. The practice address on file is in Morristown, TN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Specialty Pharmacy covers
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. NUCC Health Care Provider Taxonomy, code 3336S0011X
All registered taxonomy codes
This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 3336S0011X | Specialty Pharmacy Specialty Pharmacy | 4998 | TN | primary |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | 2018008256 | MO | |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | OSP.0006973 | CO | |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | 054.020619 | IL | |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | 14556 | MS | |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | TN1923 | KY | |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | PHNR001097 | GA | |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | 4998 | TN | |
| 3336C0004X | Compounding Pharmacy Compounding Pharmacy | 4998 | TN | |
| 3336H0001X | Home Infusion Therapy Pharmacy Home Infusion Therapy Pharmacy | — | — | |
| 3336M0002X | Mail Order Pharmacy Mail Order Pharmacy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1821362526 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 28, 2012 |
| Last updated | Aug 18, 2025 |
| Status | Active |
| Practice address |
2825 W ANDREW JOHNSON HWY Morristown, TN 37814 (423) 307-5757 Fax (423) 307-5241 |
| Other identifiers |
103955980001
· Medicaid (PA) 1821362526 · Medicaid (IL) 4067029 · Medicaid (UT) 232282407 · Medicaid (AR) 95213 · Medicaid (AZ) 7Z1164 · Medicaid (PA) 2134355 · Other 7Z1164 · Medicaid (SC) 2018228689 · Medicaid (VA) Q035892 · Medicaid (TN) 300047862 · Medicaid (IN) 431597 · Medicaid (OH) 574038 · Medicaid (NC) 7100373620 · Medicaid (KY) 9000202940 · Medicaid (CO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 2 | 1 | 3 | 6 | 2 | 5 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 4 | 1 | 6 | 6 | 4 | 5 | 4 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.