1. Home
  2. Directory
  3. Arizona
  4. Lake Havasu City
  5. Pharmacy
  6. NPI Profile

BRIDGE MEDICAL SERVICES LLC
NPI 1851857270
Pharmacy - Community/Retail Pharmacy in Lake Havasu City, AZ

Active since February 11, 2019
1955 MCCULLOCH BLVD N # 100, LAKE HAVASU CITY, AZ 86403(928) 230-9812 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bridge Medical Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGE MEDICAL SERVICES LLC (NPI 1851857270), doing business as Sunrise Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Lake Havasu City, Arizona and active in the NPI registry since February 2019. The organization lists Ezekiel Keereng Kesitilwe, Manager, as its authorized official.

NPPES Registry Identity

NPI1851857270
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBRIDGE MEDICAL SERVICES LLC
Location Address1955 MCCULLOCH BLVD N # 100Lake Havasu City, AZ 86403-5739
Mailing AddressPo Box 1257Lake Havasu City, AZ 86405-1257
Phone(928) 230-9812
Organization SubpartNo
Authorized OfficialEzekiel Keereng KesitilweManager · (928) 230-9812
Enumeration DateFebruary 11, 2019
✔ NPI 1851857270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
1955 MCCULLOCH BLVD N # 100, Lake Havasu City, AZ 86403
Open in Google Maps ↗

Other Names 1

Doing Business AsSunrise Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridge Medical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20210303000461Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
77 services77 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
72 services72 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridge Medical Services LLC's NPI number?

The NPI number for Bridge Medical Services LLC is 1851857270. It was assigned to this organization in the NPPES registry on February 11, 2019. The provider is doing business as sunrise pharmacy.

Where is Bridge Medical Services LLC located?

Bridge Medical Services LLC is located at 1955 Mcculloch Blvd N # 100, Lake Havasu City, AZ 86403. The listed phone number is (928) 230-9812.

What is Bridge Medical Services LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Bridge Medical Services LLC enrolled in Medicare?

Yes. Bridge Medical Services LLC is registered in the Medicare PECOS enrollment system.

When is Bridge Medical Services LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Bridge Medical Services LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 40 other insurers list Bridge Medical Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bridge Medical Services LLC was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.