FOUNTAIN PLAZA PHARMACY, LLC
Specialty Pharmacy · MORRISTOWN, TN
Organization Active NPI 1821362526
Medicare payment data Part B · 2022
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2022 | 30 | 130 | $3,578 | $3,051 | $3,051 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Specialty Pharmacy | 3336S0011X | ✓ | 4998 | TN |
| Community/Retail Pharmacy | 3336C0003X | 2018008256 | MO | |
| Community/Retail Pharmacy | 3336C0003X | OSP.0006973 | CO | |
| Community/Retail Pharmacy | 3336C0003X | 054.020619 | IL | |
| Community/Retail Pharmacy | 3336C0003X | 14556 | MS | |
| Community/Retail Pharmacy | 3336C0003X | TN1923 | KY | |
| Community/Retail Pharmacy | 3336C0003X | PHNR001097 | GA | |
| Community/Retail Pharmacy | 3336C0003X | 4998 | TN | |
| Compounding Pharmacy | 3336C0004X | 4998 | TN | |
| Home Infusion Therapy Pharmacy | 3336H0001X | — | — | |
| Mail Order Pharmacy | 3336M0002X | — | — |
Other Specialty Pharmacy providers in Tennessee
- NPI 1942148978
- NPI 1750092946
- NPI 1518349562
- NPI 1962791038
- NPI 1689979288
- NPI 1619499118
- NPI 1801563150
- NPI 1619213212
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.