Active NPI
Ez Med LLC
- Community/Retail Pharmacy
- Bountiful, UT
National Provider Identifier
1992098271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 7303458-1704
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.