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One provider matched this enrollment ID.

Enrollment ID O20210211001205 resolves to a single NPI record. Open the full profile for complete detail.

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EP
NPI · 1285683094 · Active
Eastern Pharmacy INC
Community/Retail Pharmacy · Ypsilanti, Michigan
Active
NPI
1285683094
Enrollment ID
O20210211001205
Taxonomy
3336C0003X
Type
Part B Supplier - Mass Immunization (roster Biller Only)

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 2368252· Issued by NCPDP PROVIDER IDENTIFICATION NUMBER

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.