Ez RX Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

7303454-1703 Issued in UT

Legal business name

EZ RX INC

Doing business as

EZ PASS RX

Practice address

450 S 400 E
Ste 50
Bountiful, UT 84010-4938

Phone

(801) 397-5900

Fax

(801) 397-5910

NPI assigned

May 14, 2009

Organization subpart

No

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

Authorized official

Name

R. David Grant

Title

President

Phone

(801) 397-5900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• EZ PASS RX Doing business as

Locations

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1467686758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 400 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104938",
            "telephone_number": "801-397-5900",
            "fax_number": "801-397-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S 400 E",
            "address_2": "STE 50",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104938",
            "telephone_number": "801-397-5900",
            "fax_number": "801-397-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "R. DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-397-5900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "UT",
            "license": "7303454-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4611263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZ PASS RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Long Term Care Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.