Organization Active NPI

Ez Med LLC

  • Community/Retail Pharmacy
  • Bountiful, UT
National Provider Identifier
1992098271
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7303458-1704 Issued in UT
Legal business name
EZ MED LLC
Practice address
450 S 400 E Ste 70
Bountiful, UT 84010-4938
Phone
(801) 397-5900
Fax
(801) 397-5910
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Mr. Brandon Robertson
Title
President of Ez Med LLC
Phone
(801) 856-8462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 7303458-1704 UT Primary

Addresses

Primary practice location

450 S 400 E Ste 70
Bountiful, UT 84010-4938

Mailing address

450 S 400 E Ste 70
Bountiful, UT 84010-4938
Phone (801) 856-8462

National Provider Directory

National Provider Directory

Locations

450 S 400 E
Ste 70
Bountiful, UT 84010
Phone (801) 397-5900

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1992098271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 400 E STE 70",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104938",
            "telephone_number": "801-856-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S 400 E STE 70",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104938",
            "telephone_number": "801-397-5900",
            "fax_number": "801-397-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT OF EZ MED LLC",
        "authorized_official_telephone_number": "801-856-8462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "7303458-1704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.