EZ PACK PHARMACY
NPI 1245857051
Pharmacy in Weatherford, TX

NPI Status: Active since June 26, 2020

Contact Information

933 HILLTOP DR STE 101
WEATHERFORD, TX
ZIP 76086
Phone: (682) 262-1120

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  • Organization
  • Pharmacy
  • Accepts Insurance
  • CLIA Number: 45D2286533
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 07-30-2025

About EZ PACK PHARMACY

This page provides the complete NPI Profile along with additional information for Ez Pack Pharmacy, a provider established in Weatherford, Texas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1245857051 assigned on June 2020. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Ez Pack Pharmacy. The authorized official of this NPI record is Rachael Alles (Operations Manager)

NPI
1245857051
Provider Legal Name
BLUE CITY LLC
Other Organization Name
EZ PACK PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
933 HILLTOP DR STE 101 WEATHERFORD, TX 76086
Location Phone
(682) 262-1120
Mailing Address
933 HILLTOP DR STE 101 WEATHERFORD, TX 76086
Mailing Phone
(682) 262-1120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2020
Last Update Date
06-01-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO
  • Blue Connect 80/60 $3200 (L) - POS
  • Blue Connect 80/60 $3200 (N) - POS
  • Blue Connect 80/60 $3200 (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (S) - POS
  • Blue POS 60/40 $6500 - POS
  • Blue POS 70/50 $4550 - POS
  • Blue POS 80/60 $3200 - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
  • Community Blue 80/60 $3200 - POS
  • Essential Bronze 6500 - POS
  • Essential Gold 1500 - POS
  • Freedom Silver 4000 - POS
  • Savings Bronze 7700 - POS
  • Standard Bronze 7500 - POS
  • Standard Gold 1500 - POS
  • Standard Silver 5000 - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RACHAEL ALLES

Authorized Official Title
OPERATIONS MANAGER
Authorized Official Phone
(682) 262-1120

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2286533
Facility Type
Pharmacy
Certificate Effective Date
July 31, 2023
Certificate Expiration Date
July 30, 2025
Laboratory Director
TIMOTHY RATINO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ez Pack Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EZ PACK PHARMACY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245857051
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228516514010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 6 + 5 + 1 + 4 + 0 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1245857051 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245857051, enumerated in the NPI registry as an "organization" on June 26, 2020

The provider is located at 933 Hilltop Dr Ste 101 Weatherford, Tx 76086 and the phone number is (682) 262-1120

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D2286533 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 26, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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