Provider Type Icon

DR. EZEKIEL KEERENG KESITILWE PHARMD NPI 1871001248


NPI Information

NPI: 1871001248
Provider Name: DR. EZEKIEL KEERENG KESITILWE, PHARMD
Classification: Pharmacy - 333600000X
Entity Type: Individual
Address:
1980 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 854-8281
Get Directions

DR. Ezekiel Keereng Kesitilwe, PHARMD is a pharmacy in Lake Havasu City, AZ. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. DR. Ezekiel Keereng Kesitilwe, PHARMD NPI is 1871001248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1980 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ
ZIP 86403-969
Phone: (928) 854-8281
Fax: (928) 453-3969

The enumeration date for this NPI number is 1/18/2018 and was last updated on 1/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyS013695ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.