FOUNTAIN PHARMACY INC (NPI# 1164973004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164973004 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN PHARMACY INC |
| Practice Address |
1331 W Broadway St Oviedo FL 32765-8103 |
| Practice Telephone | 7133971544 |
| Mailing Telephone | 4078909382 |
| Mailing Fax Number | 4078909384 |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2017-09-05 |
| Authorized Official Name | OLUROTIMI K ALALADE (DIRECTOR) |
| Authorized Official Telephone | 7133971544 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
1331 W BROADWAY ST |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386707909 | Trnity Healthcare Corp | Pharmacy | 85 Geneva Dr, Oviedo, FL 32765-6757 | 2006-12-18 |
| 1669576526 | Holiday Cvs LLC | Pharmacy | 1030 Lockwood Blvd, Oviedo, FL 32765-6054 | 2006-09-12 |
| 1881605426 | Cimo Pharmacy | Pharmacy | 2235 Eagle Pass Rd, Oviedo, FL 32765-9046 | 2006-08-10 |
| 1164445466 | Holiday Cvs LLC | Pharmacy | 820 Oviedo Mall Blvd, Oviedo, FL 32765-9348 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.