ABL CUSTOM COMPOUNDING (NPI# 1558498634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558498634 |
Entity Type | Organization |
Organization Name | ABL CUSTOM COMPOUNDING |
Other Organization Name | ABL CUSTOM COMPOUNDING |
Practice Address |
34 E 4th St Emporium PA 15834-1412 |
Mailing Address |
Po Box 384 Emporium PA 15834-0384 |
Practice Telephone | 8144862326 |
Practice Fax Number | 8144861065 |
Mailing Telephone | 8144862326 |
Mailing Fax Number | 8144861065 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2014-11-04 |
Authorized Official Name | BLAIR LUNDBERG (OWNER) |
Authorized Official Telephone | 8144862326 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PP481743 | PA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2082235 | 01 |
Other Name | Type Code |
---|---|
ABL CUSTOM COMPOUNDING | Doing Business As Name - Organization |
Street Address |
34 E 4TH ST |
City | EMPORIUM |
State | PA |
Zip Code | 15834-1412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396940771 | Donna Mckimm | Registered Nurse | 3225 Rich Valley Rd, Emporium, PA 15834 | 2007-06-18 |
1346207925 | A Blair Lundberg | Pharmacist | 34 East 4th St, Emporium, PA 15834 | 2006-04-27 |
1225487895 | Robin Hammersley | Nurse Practitioner | 416 N Broad St, Emporium, PA 15834 | 2016-06-06 |
1740334549 | Joel & June Caldwell Inc | Durable Medical Equipment & Medical Supplies | 105 4th St, Emporium, PA 15834 | 2007-01-22 |
1518167584 | Charles A. Blumle D.d.s., P.C. | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2007-07-18 |
1669634572 | Charles A Blumle | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2008-07-01 |
1710975768 | Jodi Rae Regulski | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2005-10-12 |
1174173595 | Renee Mostyn | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2019-09-17 |
1285150227 | Savanah Marie Krivonyak | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-22 |
1215451927 | Kane Dental Center | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-03 |
Find all providers in zip 15834 |
Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760851265 | Bdrx LLC | Pharmacy | 1 N West End Blvd, Quakertown, PA 18951-1133 | 2015-09-15 |
1801208491 | Reliant Care Solutions Lp | Pharmacy | 403 S Oxford Valley Rd Ste 2, Fairless Hills, PA 19030-4202 | 2014-05-30 |
1083026199 | Rabskvi Health Inc | Pharmacy | 1571 Manheim Pike, Lancaster, PA 17601-3071 | 2014-05-22 |
1871914473 | Specialty Pharmacy Services LLC | Pharmacy | 445 W Main St Ste 7, Mount Pleasant, PA 15666-1533 | 2013-12-27 |
1841629433 | Insight Pharmaceutical LLC | Pharmacy | 700 E Township Line Rd # Ll2b, Havertown, PA 19083-5733 | 2013-11-05 |
1477980324 | Darshan Bapa Inc | Pharmacy | 8275 Bustleton Ave, Philadelphia, PA 19152-2425 | 2013-10-07 |
1619212032 | Fishtown Pharmacy LLC | Pharmacy | 1802 Frankford Ave, Philadelphia, PA 19125-2403 | 2012-12-11 |
1669717369 | Apothecary of Harleysville | Pharmacy | 345 Main St Ste 7, Harleysville, PA 19438-2420 | 2012-12-06 |
1497017461 | Innovative Pharmacy LLC | Pharmacy | 2014 Ford Rd Ste B, Bristol, PA 19007-6743 | 2012-06-14 |
1720345309 | Blue Mountain Compounding LLC | Pharmacy | 2453 Plaza Ct, Ste B, Bath, PA 18014-8762 | 2012-04-19 |
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.