CUSTOM CARE PHARMACY LLC (NPI# 1699189134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699189134 |
| Entity Type | Organization |
| Organization Name | CUSTOM CARE PHARMACY LLC |
| Other Organization Name | CUSTOM CARE PHARMACY LLC |
| Practice Address |
7007 North Ave Oak Park IL 60302-1001 |
| Practice Telephone | 7086285464 |
| Mailing Telephone | 7086285464 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | VISHALI PATEL (PIC/ OWNER) |
| Authorized Official Telephone | 6613191150 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054.018588 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146437 | 01 |
| Other Name | Type Code |
|---|---|
| Custom Care Pharmacy LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053872283 | Custom Care Pharmacy LLC | Pharmacy | 1140 Mill St, Danville, PA 17821-1078 | 2019-03-29 |
| 1144749979 | Custom Care Pharmacy LLC | Pharmacy | 59 S Front St, Milton, PA 17847-1110 | 2017-09-13 |
| 1861935389 | Custom Care Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 20320 Northwest Fwy Ste 300, Jersey Village, TX 77065-5643 | 2016-12-01 |
| 1821442260 | Custom Care Pharmacy LLC | Pharmacy | 9332 State Road 54 Ste 207, New Port Richey, FL 34655-1810 | 2016-04-22 |
| 1811234990 | Custom Care Pharmacy LLC | Pharmacy | 300 Market St, Sunbury, PA 17801-3410 | 2013-01-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CUSTOM CARE PHARMACY LLC | 7007 W. North Ave, Oak Park, IL 60302 |
| Street Address |
7007 NORTH AVE |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183804 | Oak Park Rx LLC | Pharmacy | 24651 Coolidge Hwy, Oak Park, MI 48237-1449 | 2020-01-24 |
| 1669011524 | Purepoint Pharmacy LLC | Pharmacy | 15075 Lincoln St Apt 110, Oak Park, MI 48237-1289 | 2019-12-24 |
| 1962051102 | Apexrx LLC | Pharmacy | 25290 Greenfield Rd, Oak Park, MI 48237-4032 | 2019-09-10 |
| 1558853770 | Safeway Pharmacy LLC | Pharmacy | 25222 Greenfield Rd, Oak Park, MI 48237-4032 | 2018-06-04 |
| 1225412786 | Praxis Specialty Pharmacy, LLC | Pharmacy | 455 N Harlem Ave, Lower Level, Oak Park, IL 60301-2020 | 2015-07-15 |
| 1982716825 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 23001 Coolidge Hwy, Oak Park, MI 48237-2071 | 2006-08-31 |
| 1104938190 | Detroit Hope Pharmacy Inc | Pharmacy | 24695 Coolidge Hwy, Oak Park, MI 48237-1449 | 2006-08-31 |
| 1467563742 | Lincoln Drugs Inc | Pharmacy | 25901 Coolidge Hwy, Oak Park, MI 48237-1108 | 2006-08-31 |
| 1598262420 | Lincoln Rx Inc | Pharmacy | 25901 Coolidge Hwy, Oak Park, MI 48237-1108 | 2018-04-08 |
| 1114278926 | Beacon Professional Pharmacy, Inc | Pharmacy | 23350 Greenfield Rd, Oak Park, MI 48237-2496 | 2012-09-20 |
| Find all providers in OAK PARK | ||||
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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.