Est LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60219353 Issued in WA

Legal business name

EST LLC

Doing business as

Fiesta Pharmacy

Practice address

115 S 10TH Ave
Pasco, WA 99301-6806

Phone

(509) 545-0596

Fax

(509) 547-3355

NPI assigned

Mar 23, 2011

Last updated

Aug 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eslam Mohamed, RPH

Title

Pharmacist / Owner

Phone

(732) 762-4960

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Fiesta Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

Columbia Medical Pharmacy2 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.

• Esl LLC

  dba Columbia Medical Pharmacy

  • Community/Retail Pharmacy
  • Pasco, WA
  • NPI 1073873378
  NPD tax ID

Locations

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1477852838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ERICA DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S 10TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993016806",
            "telephone_number": "509-545-0596",
            "fax_number": "509-547-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ESLAM",
        "authorized_official_title_or_position": "PHARMACIST / OWNER",
        "authorized_official_telephone_number": "732-762-4960",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60219353",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129654",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044998",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fiesta Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Esl LLC (Columbia Medical Pharmacy)
• Froylan Mario Espinoza Escalante
• Iliana Rocio Espinoza
• Gabriel Esqueda
• Marlene Esquivel
• Sammantha Estes, ATC, LAT
• Carrie Cristina Etherington
• Laurie S. Evans, M.D.
• Everyday Eye Care PLLC (Everyday Eye Care Sunnyside)
• Excellence in Home Care LLC

• Community/Retail Pharmacy in Pasco, WA
• Providers in Pasco, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.