DEEFLAT LLC NPI 1396216719

NPI Details

DEEFLAT LLC is a community/retail pharmacy pharmacy in Bullhead City, AZ. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. DEEFLAT LLC NPI is 1396216719. The provider is registered as an organization entity type.
The provider Other Name Is Deeflat Pharmacy.

The provider's business location address is:

2580 HIGHWAY 95 STE 106
BULLHEAD CITY, AZ
ZIP 86442-324
Phone: (928) 299-5070
Fax: (928) 299-5071

The provider's authorized official is Tuan Dinh .
The authorized official title is Ceo and has the following contact phone number (928) 299-5070.

The CLIA number assigned to this NPI record is 03D2246626 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
• Adm sarscov2 50 mcg/.5 mlbst (HCPCS:0094A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)

The enumeration date for this NPI number is 12/11/2018 and was last updated on 10/17/2020.

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: