Request an account

Tell Escalate Group about your business and where orders should ship. An administrator reviews every request before an account opens, so nothing is ordered until yours is approved.

Your full name

Work email address

This becomes the address you sign in with, and every sign-in code is sent to it. Use one you will keep.

Business name

The name your business trades under. Never enter personal health information, prescription details, or anything identifying the people you serve. This platform holds information about your business only.

NPI number

Ten digits, as issued. It is checked against the national registry when your request is reviewed.

I don’t have an NPI number

Where orders ship

The first address on your account. You can add more once it is open.

Name for this address

Recipient name

Street address

Suite, unit or floor

City

State

ZIP code

Phone for the carrier

Never enter personal health information, prescription details, or anything identifying the people you serve. This platform holds information about your business only.

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