CUSTOM SCRIPT PHARMACY NPI 1104227602

NPI Information

  • NPI: 1104227602
  • Provider Name: CUSTOM SCRIPT PHARMACY
  • Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
  • Specialization: Oxygen Equipment & Supplies
  • Entity Type: Organization
  • Address: 3738 TEAYS VALLEY RD STE C
    HURRICANE, WV
    ZIP 25526
  • Phone: (130) 473-3378

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NPI Details

CUSTOM SCRIPT PHARMACY is an oxygen equipment and supplies durable medical equipment medical supplies in Hurricane, WV. CUSTOM SCRIPT PHARMACY NPI is 1104227602. The provider is registered as an organization entity type.

The provider's business location address is:

3738 TEAYS VALLEY RD STE C
HURRICANE, WV
ZIP 25526-705
Phone: (130) 473-3378
Fax: (130) 473-3139

The provider's authorized official is Jonathan Beaver .
The authorized official title is Respiratory Therapist and has the following contact phone number 13047333784.

The enumeration date for this NPI number is 9/16/2014 and was last updated on 9/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesWEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17117770001MEDICARE UPINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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