Provider Demographics
NPI:1457366064
Name:ENDLESS MEDICAL SERVICES CORP
Entity Type:Organization
Organization Name:ENDLESS MEDICAL SERVICES CORP
Other - Org Name:EZ PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EKLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMANZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-342-1606
Mailing Address - Street 1:6350 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4812
Mailing Address - Country:US
Mailing Address - Phone:305-260-9393
Mailing Address - Fax:305-260-9394
Practice Address - Street 1:6350 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:WEST MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4812
Practice Address - Country:US
Practice Address - Phone:305-260-9393
Practice Address - Fax:305-260-9394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH217783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1017537OtherNCPDP PROVIDER IDENTIFICATION NUMBER
5331980001Medicare NSC