CUSTOMPRESCRIPTION INC (NPI# 1497035182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497035182 |
| Entity Type | Organization |
| Organization Name | CUSTOMPRESCRIPTION INC |
| Practice Address |
1620 E Broad St Suite 1005 Columbus OH 43203-2072 |
| Practice Telephone | 6143976687 |
| Mailing Telephone | 6143976687 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | MR. SRIKANTH M SHIVAKUMAR (PRESIDENT) |
| Authorized Official Telephone | 6143976687 |
| Authorized Official Credential | M.PHARM, RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302037600 | MI | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 03128002 | OH | Pharmacy Service Providers |
| Street Address |
1620 E BROAD ST SUITE 1005 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43203-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730285339 | Judith E Fisher | Social Worker | 1620 E Broad St, #109, Columbus, OH 43203-2072 | 2006-09-15 |
| 1003293267 | Kegan D Beraduce | Social Worker | 1620 E Broad St, Columbus, OH 43203 | 2015-04-27 |
| 1164690798 | Allen W Ross | Counselor | 1620 E Broad St, Suite 109, Columbus, OH 43203-2072 | 2008-02-17 |
| 1336204957 | Jerilyn L Wolman | Psychologist | 1620 E Broad St, Suite 109, Columbus, OH 43203-2072 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694643 | Timothy Michael Miller | Psychiatry & Neurology | 1441 Phale D. Hale Dr., Columbus, OH 43203 | 2020-03-20 |
| 1518510155 | Michael Vilensky | Psychologist | 1441 Phale D Hale Drive, Columbus, OH 43203 | 2019-07-23 |
| 1750845160 | Bianca Bell | Counselor | 1223 Mt Vernon Ave, Columbus, OH 43203 | 2019-01-30 |
| 1902323710 | Anitra Gripper | Home Health | 442 N. Garfield Avenue, Columbus, OH 43203 | 2017-08-23 |
| 1710418900 | Sherrie Cathey | Licensed Practical Nurse | 521 Sawyer Blvd #906, Columbus, OH 43203 | 2017-03-21 |
| 1710341490 | Ann-kathrin Eisfeld | Student in an Organized Health Care Education/Training Program | 1276 Eastwood Ave, Columbus, OH 43203 | 2016-04-08 |
| 1194140921 | Chante Meadows, LLC | Community/Behavioral Health | 1000 Atcheson Street, Columbus, OHIO 43203 | 2014-03-03 |
| 1467772368 | Courtney Collins | Surgery | 181 Taylor Ave Ste 1102, Columbus, OH 43203 | 2010-06-03 |
| 1437203080 | Debra R Jones | Psychiatry & Neurology | 1620 East Broad Street, Suite 109, Columbus, OH 43203 | 2007-01-22 |
| 1841397296 | Daniel Kenneth Mcclincy | Physician Assistant | 543 Taylor Ave., Vaopc, Columbus, OH 43203 | 2006-09-20 |
| Find all providers in zip 43203 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391730 | Dominic Clouse | Pharmacist | Jameson Crane Sports Medicine Institute Pharmacy, 2835 Fred Taylor Drive, Columbus, OH 43202 | 2020-06-24 |
| 1225663602 | Farzaneh Gyurcsik | Pharmacist | 2826 Doncaster Rd, Columbus, OH 43221-3034 | 2020-03-06 |
| 1396386421 | Erin Petersen | Pharmacist | 3535 Olentangy River Rd Ste Y1322, Columbus, OH 43214-3908 | 2019-09-30 |
| 1659927945 | Nicholas D Keller | Pharmacist | 181 Taylor Ave Ste Tg135, Columbus, OH 43203-1779 | 2019-08-13 |
| 1942854005 | Eric Obeng | Pharmacist | 2575 S Hamilton Rd, Columbus, OH 43232-4964 | 2019-07-27 |
| 1518421015 | Andrew Carlisle Milner | Pharmacist | 5445 N. High St, Columbus, OH 43214-1129 | 2019-01-29 |
| 1598247371 | Alyssa Marie Gaietto | Pharmacist | 460 W 10th Ave Rm C150d, Columbus, OH 43210-1240 | 2018-08-29 |
| 1851879209 | Lauren R. Vergara | Pharmacist | 410 W 10th Avenue, 368 Doan Hall, Columbus, OH 43215-2447 | 2018-07-29 |
| 1992282081 | Ali Mohamed | Pharmacist | 3949 Hoffman Valley Dr, Columbus, OH 43219-8111 | 2018-07-23 |
| 1417433467 | Jon Theodore Mcclymont | Pharmacist | 1599 Alum Creek Dr, Columbus, OH 43209-2596 | 2018-07-12 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on CUSTOMPRESCRIPTION INC.
| 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.