DR. EZEKIEL KEERENG KESITILWE PHARMD
NPI 1871001248
Pharmacy in Lake Havasu City, AZ

Q: What is Ezekiel Kesitilwe's NPI number?

The NPI number for Ezekiel Kesitilwe is 1871001248. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Q: What is Ezekiel Kesitilwe's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Ezekiel Kesitilwe was last updated on January 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 18, 2018

1980 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403(928) 854-8281(928) 453-3969 Get Directions Write a Review

NPPES record last updated: January 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ezekiel Keereng Kesitilwe Pharmd NPPES

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

DR. EZEKIEL KEERENG KESITILWE PHARMD (NPI 1871001248) is an individual pharmacy provider in Lake Havasu City, Arizona, licensed in Arizona (S013695) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1871001248

Entity TypeIndividualMale

Primary Taxonomy333600000X

Provider Legal NameDR. EZEKIEL KEERENG KESITILWECredential: PHARMD

Location Address1980 MCCULLOCH BLVD NLake Havasu City, AZ 86403-0969

Mailing Address2734 Paseo VerdeLake Havasu City, AZ 86406-7748 · (928) 230-9812

Phone(928) 854-8281

Fax(928) 453-3969

Sole ProprietorYes

Enumeration DateJanuary 18, 2018

✔ NPI 1871001248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in AZ · S013695

Definition

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.

1980 MCCULLOCH BLVD N, Lake Havasu City, AZ 86403

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALBERTSONS LLC

Pharmacy (Community/Retail Pharmacy)

1980 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 854-8281

ROBERTO AGUAYO PHARMD

Pharmacist

1980 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 854-8281

1918 WINTER STREET OPERATING CO LLC

Pharmacy (Community/Retail Pharmacy)

1980 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 854-8281

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 Ezekiel Kesitilwe's NPI number?

The NPI number for Ezekiel Kesitilwe is 1871001248. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Where is Ezekiel Kesitilwe located?

Ezekiel Kesitilwe practices at 1980 Mcculloch Blvd N, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-8281.

What is Ezekiel Kesitilwe's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Ezekiel Kesitilwe was last updated on January 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.