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CUSTOM PRESCRIPTION SHOPPE LLC NPI 1932288438


NPI Information

NPI: 1932288438
Provider Name: CUSTOM PRESCRIPTION SHOPPE LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1313 E MAPLE ST
STE 101
BELLINGHAM, WA
ZIP 98225
Phone: (360) 685-4242
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CUSTOM PRESCRIPTION SHOPPE LLC is a long term care pharmacy pharmacy in Bellingham, WA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CUSTOM PRESCRIPTION SHOPPE LLC NPI is 1932288438. The provider is registered as an organization entity type.

The provider's business location address is:

1313 E MAPLE ST
STE 101
BELLINGHAM, WA
ZIP 98225-708
Phone: (360) 685-4242
Fax: (360) 685-4243

The provider's authorized official is Kevin Faris .
The authorized official title is Owner Pharmacist and has the following contact phone number (360) 685-4242.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 12/6/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336M0002XPharmacyMail Order PharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336L0003XPharmacyLong Term Care PharmacyCF00057668WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14930550OTHEROTHER ID NUMBER
26026835MEDICAIDWASHINGTON
34925190001MEDICARE NSC

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.