EZYFAST PHARMACY L L C (NPI# 1366717860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366717860 |
| Entity Type | Organization |
| Organization Name | EZYFAST PHARMACY L L C |
| Other Organization Name | EZYFAST PHARMACY L.L.C |
| Practice Address |
2580 Highway 95 Ste 106 Bullhead City AZ 86442-7324 |
| Mailing Address |
Po Box 21238 Bullhead City AZ 86439-1238 |
| Practice Telephone | 9282195912 |
| Practice Fax Number | 9282195915 |
| Mailing Telephone | 9282195912 |
| Mailing Fax Number | 9282195915 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-05-22 |
| Authorized Official Name | EZEKIEL KESITILWE (OWNER) |
| Authorized Official Telephone | 9282309812 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y005478 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0357447 | 01 | |
| AZ | 697715 | 05 |
| Other Name | Type Code |
|---|---|
| EzyFast Pharmacy L.L.C | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063825222 | Ezyfast Pharmacy L L C | Pharmacy | 1701 S Casino Dr, Laughlin, NV 89029-1503 | 2014-06-05 |
| Street Address |
2580 HIGHWAY 95 STE 106 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-7324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132615 | Deeflat LLC | Pharmacy | 2580 Highway 95 Ste 106, Bullhead City, AZ 86442-7324 | 2020-10-17 |
| 1801495247 | Deeflat LLC | Pharmacy | 2580 Highway 95 Ste 106, Bullhead City, AZ 86442-7324 | 2020-10-17 |
| 1396216719 | Deeflat LLC | Pharmacy | 2580 Highway 95 Ste 106, Bullhead City, AZ 86442-7324 | 2018-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| 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 |
|---|---|---|---|---|
| 1356961726 | Truechoice Pharmacy, LLC | Pharmacy | 2410 Highway 95, Bullhead City, AZ 86442-7305 | 2020-04-25 |
| 1659752145 | Sams Club Pharmacy | Pharmacy | 600 Highway 95, Bullhead City, AZ 86429-5007 | 2015-06-10 |
| 1942215280 | Walgreen Co | Pharmacy | 2360 Highway 95, Bullhead City, AZ 86442-7303 | 2006-07-29 |
| 1134163488 | Arizona Cvs Stores LLC | Pharmacy | 2350 Miracle Mile, Bullhead City, AZ 86442-7505 | 2006-06-16 |
| 1902365661 | Althea Pharmacy LLC | Pharmacy | 2410 Highway 95, Bullhead City, AZ 86442-7305 | 2019-03-13 |
| 1396216719 | Deeflat LLC | Pharmacy | 2580 Highway 95 Ste 106, Bullhead City, AZ 86442-7324 | 2018-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946562 | Grand Canyon Acquisition Co LLC | Pharmacy | 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061 | 2020-09-14 |
| 1316564628 | Costco Wholesale Corporation | Pharmacy | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1134757503 | Adhererx Incorporated | Pharmacy | 1343 N Colorado St Ste 109, Gilbert, AZ 85233-1618 | 2020-03-31 |
| 1003458332 | Bee's Marketplace Corporation | Pharmacy | 80 North Central Street Unit 6 #3323, Colorado City, AZ 86021 | 2019-10-08 |
| 1508417189 | Call's Community Pharmacy LLC | Pharmacy | 985 S Main St, Snowflake, AZ 85937-5501 | 2019-09-24 |
| 1609429240 | Medavail Pharmacy Inc. | Pharmacy | 5555 E 5th St # 101, Tucson, AZ 85711-2415 | 2019-07-23 |
| 1417513904 | N & R Bryce Enterprises LLC | Pharmacy | 2841 Highway 260 Suite 2, Overgaard, AZ 85933 | 2019-05-10 |
| 1942864608 | Medavail Pharmacy Inc. | Pharmacy | 7 S Abrego Dr, Green Valley, AZ 85614-2401 | 2019-04-29 |
| Find all providers with the same taxonomy | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
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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.