CUSTOM RX (NPI# 1336569227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336569227 |
| Entity Type | Organization |
| Organization Name | CUSTOM RX |
| Practice Address |
114 Harrison Ave Lowell AR 72745-9047 |
| Practice Telephone | 4797700052 |
| Mailing Telephone | 4797700052 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |
| Authorized Official Name | DR. JAMES GARLAND (PHARMACIST) |
| Authorized Official Telephone | 4797700052 |
| Authorized Official Credential | PHARM D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | AR20745 | AR | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457682114 | Custom Rx | Pharmacy | 173 W 4th St, Kuna, ID 83634-2046 | 2010-01-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CUSTOM RX PHARMACY LLC | 102-03a Queens Blvd, Forest Hills, New York 11375 |
| Vermont Business Registrations | CUSTOM RX, LLC | 239 New Boston Road, Middle Granville, NY 12849 |
| Street Address |
114 HARRISON AVE |
| City | LOWELL |
| State | AR |
| Zip Code | 72745-9047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881670818 | Tripharma Inc | Durable Medical Equipment & Medical Supplies | 114 Harrison Ave, Lowell, AR 72745-9047 | 2005-12-21 |
| 1255746772 | Petty Medical Clinic, LLC | Clinic/Center | 114 Harrison Ave, Suite C, Lowell, AR 72745-9047 | 2014-06-23 |
| 1659622728 | Karas Family Walk-in Clinic | Family Medicine | 114 Harrison Ave, Suite B, Lowell, AR 72745-9047 | 2012-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442706 | Harps Food Stores, Inc. | Pharmacy | 916 W Monroe Ave., Lowell, AR 72745 | 2018-10-03 |
| 1801300405 | Sarah Elizabeth Bright | Speech-Language Pathologist | 121 South Ave., Lowell, AR 72745 | 2017-11-20 |
| 1306398151 | Keegan Sutton | Occupational Therapist | 612 S Lincoln, Ste A, Lowell, AR 72745 | 2016-10-27 |
| 1922470368 | Sharon Hunter | Contractor | 14213 Edens Bluff Drive, Lowell, AR 72745 | 2015-10-26 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| 1407094220 | Dr. Angela Moore Family Chiropractic, P.l.c. | Chiropractor | 117 S Dixieland St, Ste B, Lowell, AR 72745 | 2009-02-02 |
| 1104078302 | University of Arkansas for Medical Science | Developmental Therapist | 519 Latham Dr., Lowell, AR 72745 | 2008-10-21 |
| 1356593479 | University of Arkansas for Medical Sciences | Registered Nurse | 519 Latham Drive, Lowell, AR 72745 | 2008-10-21 |
| 1912039827 | Looper Chiropractic Pa | Chiropractor | 200 S Bloomington, Ste I, Lowell, AR 72745 | 2007-03-09 |
| Find all providers in zip 72745 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720446610 | Aaron Hoholik | Pharmacy | 88 Kendra Ct, Lowell, MI 49331-9129 | 2016-02-05 |
| 1154660223 | Century Pharmacy,llc. | Pharmacy | 937 Gorham St, Lowell, MA 01852-4635 | 2013-02-08 |
| 1710225347 | K Pharmacy LLC | Pharmacy | 280 Westford St, Lowell, MA 01851-2525 | 2013-01-16 |
| 1427311406 | Carolina Care Pharmacy Inc | Pharmacy | 123 Branch St Ste G, Lowell, NC 28098-2044 | 2012-06-24 |
| 1134238355 | Pawtucket Pharmacy Inc | Pharmacy | 65 School St, Lowell, MA 01854-3239 | 2006-08-30 |
| 1679594998 | Horizon Pharmacy of Lowell LLC | Pharmacy | 2080 E Commercial Ave, Lowell, IN 46356-2116 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198212 | Rachel Hardke | Pharmacy | 14984 Highway 86 W, Hazen, AR 72064-8348 | 2020-06-09 |
| 1821612326 | Sheridan Family Pharmacy LLC | Pharmacy | 677 Heritage Drive, Sheridan, AR 72150-5000 | 2020-06-01 |
| 1235614421 | Greenbrier Pharmacy Inc | Pharmacy | 61a South Broadview St, Greenbrier, AR 72058 | 2018-10-03 |
| 1376048124 | Bono Family Pharmacy, LLC | Pharmacy | 10040 Highway 63 S Ste 4, Bono, AR 72416-8669 | 2018-03-26 |
| 1073014866 | East End Express Pharmacy Inc | Pharmacy | 21019 Highway 167, Suite 100, Hensley, AR 72065 | 2018-02-27 |
| 1326546524 | White River Pharmacy, LLC | Pharmacy | 7321 W Sunset Ave Ste G, Springdale, AR 72762-0990 | 2018-01-23 |
| 1013422179 | Ppg Store 6 LLC | Pharmacy | 2235 Dave Ward Dr Ste 108, Conway, AR 72034-7040 | 2017-12-11 |
| 1952814857 | Health-wise Pharmacy Pllc | Pharmacy | 47 S Hwy 71 Bypass, Waldron, AR 72958 | 2017-11-14 |
| 1598278806 | Genoa Healthcare, LLC | Pharmacy | 21 Bridgeway Rd Ste P, North Little Rock, AR 72113-9514 | 2017-11-08 |
| 1811414972 | Genoa Healthcare, LLC | Pharmacy | 715 N College Ave Ste P1, El Dorado, AR 71730-4403 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.