NPIMap

Organization Active NPI

Blue City LLC

Doing business as EZ Pack Pharmacy

  • Pharmacy
  • Weatherford, TX
National Provider Identifier
1245857051
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BLUE CITY LLC
Doing business as
EZ Pack Pharmacy
Practice address
933 Hilltop Dr Ste 101
Weatherford, TX 76086-8808
Phone
(682) 262-1120
NPI assigned
Jun 26, 2020
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachael Alles
Title
Operations Manager
Phone
(682) 262-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

933 Hilltop Dr Ste 101
Weatherford, TX 76086-8808

Mailing address

933 Hilltop Dr Ste 101
Weatherford, TX 76086-8808
Phone (682) 262-1120

Other names 1

  • EZ Pack Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue City LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1245857051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 HILLTOP DR STE 101",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760868808",
            "telephone_number": "682-262-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 HILLTOP DR STE 101",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760868808",
            "telephone_number": "682-262-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "ALLES",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "682-262-1120"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZ Pack Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EZ Pack Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.