Healthcare Provider Details

I. General information

NPI: 1023535903
Provider Name (Legal Business Name): EMISWET E-Z LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2017
Last Update Date: 09/12/2025
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4942 W STATE ROAD 46 STE 1014
SANFORD FL
32771-9245
US

IV. Provider business mailing address

5075 FIORELLA LN
SANFORD FL
32771-5447
US

V. Phone/Fax

Practice location:
  • Phone: 407-915-7307
  • Fax: 407-915-7398
Mailing address:
  • Phone: 407-915-7307
  • Fax: 407-915-7398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28I03486600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberI053295
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. EMILY N ONYEKWELU
Title or Position: CEO/ MANAGING MEMBER
Credential: PHARMACIST
Phone: 646-402-1848