CUSTOM CARE PHARMACY (NPI# 1891075537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891075537 |
| Entity Type | Organization |
| Organization Name | CUSTOM CARE PHARMACY |
| Other Organization Name | CUSTOM CARE PHARMACY |
| Practice Address |
57 S Front St Milton PA 17847-1110 |
| Practice Telephone | 5702465700 |
| Practice Fax Number | 5702465705 |
| Mailing Telephone | 5702465700 |
| Mailing Fax Number | 5705241386 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2015-08-21 |
| Authorized Official Name | ADAM ROSINSKI (PRESIDENT / PHARMACY MANAGER) |
| Authorized Official Telephone | 5708509988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482213 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2132654 | 01 |
| Other Name | Type Code |
|---|---|
| Custom Care Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CUSTOM CARE PHARMACY LLC | 7007 W. North Ave, Oak Park, IL 60302 |
| Street Address |
57 S FRONT ST |
| City | MILTON |
| State | PA |
| Zip Code | 17847-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558811687 | John Rosinski | Pharmacist | 57 S Front St, Milton, PA 17847-1110 | 2016-10-13 |
| 1750831046 | Corinne Hoke | Pharmacist | 57 S Front St, Milton, PA 17847-1110 | 2016-10-11 |
| 1437427218 | Adam Rosinski | Pharmacist | 57 S Front St, Milton, PA 17847-1110 | 2011-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982709580 | Kevin Michael Welch | Podiatrist | 966 Carpenter Rd, Milton, PA 17847 | 2006-09-14 |
| 1497704837 | Geisinger Clinic | Pathology | 155 South Arch St, Suite B, Milton, PA 17847 | 2006-05-10 |
| 1295702694 | Behavioral Specialists Incorporated | Community/Behavioral Health | 40 Lawton Lane, Milton, PA 17847 | 2006-03-03 |
| 1588641179 | Milton Ambulance Service Inc | Ambulance | Cameron Ave & Cherry St, Milton, PA 17847 | 2005-12-27 |
| 1609852151 | Elwood D Reiner | Chiropractor | 55 Center St, Milton, PA 17847 | 2005-12-16 |
| 1891298147 | Susquehanna Valley Dental Health Associates | Dentist | 20 Schoolhouse Rd, Milton, PA 17847 | 2018-03-13 |
| 1205183704 | Jonathan P Brady | Pharmacist | 155 South Arch St, Milton, PA 17847 | 2012-08-14 |
| 1255454005 | Daniels & Welch | Podiatrist | 966 Carpenter Rd, Milton, PA 17847 | 2007-04-09 |
| 1124173455 | Richard M Daniels | Podiatrist | 966 Carpenter Rd, Milton, PA 17847 | 2007-01-25 |
| 1659455152 | Pa Treatment & Healing | Community/Behavioral Health | 49 Lower Market St, Milton, PA 17847-1013 | 2006-10-24 |
| Find all providers in zip 17847 | ||||
| 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 |
|---|---|---|---|---|
| 1205231495 | West Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 278 East Main St., Milton, WV 25541-1506 | 2014-10-30 |
| 1952532319 | Walgreen Co. | Pharmacy | 6506 Caroline St, Milton, FL 32570-4778 | 2009-08-04 |
| 1407994478 | Milton Pharmacy,inc. | Pharmacy | 614 Mulberry St, Milton, DE 19968-1516 | 2007-02-02 |
| 1538248562 | Park Avenue Pharmacy, Inc. | Pharmacy | 5440 Dogwood Dr, Milton, FL 32570-3700 | 2006-11-02 |
| 1952402414 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 37 Mahoning St, Milton, PA 17847-1027 | 2006-09-26 |
| 1851491286 | Cvs Pharmacy Inc | Pharmacy | 10 Bassett St Milton Market Plz, Milton, MA 02186 | 2006-09-25 |
| 1013953504 | Mercy Health System Corporation | Pharmacy | 725 S Janesville St, Milton, WI 53563-1775 | 2006-06-21 |
| 1497220701 | Sungil Ho | Pharmacy | 900 Meridian E Ste 23, Milton, WA 98354-7003 | 2018-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| 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.