EZYFAST PHARMACY L.L.C – NPI #1366717860
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.

EZYFAST PHARMACY L.L.C is a pharmacy located in BULLHEAD CITY, AZ. NPPES has assigned the NPI number 1366717860 to EZYFAST PHARMACY L.L.C on March 15, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EZYFAST PHARMACY L.L.C” is a dba name, the actual legal business name for this organization is EZYFAST PHARMACY L L C. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 14 years ago on May 22, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EZYFAST PHARMACY L.L.C below.

NPI Profile for
EZYFAST PHARMACY L L C

NPI Number
1366717860
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EZYFAST PHARMACY L L C
Doing Business As (dba): EZYFAST PHARMACY L.L.C
Primary location
2580 HIGHWAY 95 STE 106
BULLHEAD CITY, AZ 86442-7324
Phone: (928) 219-5912 Fax: (928) 219-5915
Mailing address
PO BOX 21238
BULLHEAD CITY, AZ 86439-1238
Phone: (928) 219-5912 Fax: (928) 219-5915
Organization Subpart
No
Authorized Official
EZEKIEL KESITILWE
OWNER
Phone: (928) 230-9812
Updated
Identifiers

Identifiers for EZYFAST PHARMACY L.L.C

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDP PROVIDER IDENTIFICATION NUMBER0357447
MEDICAIDAZ697715
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
AZ Y005478
3336C0004X
- Pharmacy / Compounding Pharmacy
333600000X
- Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.