You will need the following information to setup your facility or practice:
- Facility or practice name
- City, State and Zip Code
- Business phone number
- Business fax number
- Facility NPI number
- If you purchased EPCS
- Name and email address of the person who will serve as your EPCS nominator.
- Name and email address of the person who will serve as your alternate EPCS nominator.
Note: Regulations require that a prescriber be nominated for EPCS privileges. The persons you choose to serve as your nominator or alternate nominator, will be responsible for verifying that the prescriber requesting EPCS privileges meets eligibility requirements. Persons in these roles must confirm that the prescriber (a) has a valid medical or advanced practice nursing license issued by the state in which the facility is located, (b) has a valid DEA number, (c) has completed identify proofing, and (d) has completed two-factor authentication. While a prescriber cannot self-nominate for EPCS privileges, regulations permit the prescriber to self-approve once nominated.