Custom Prescription Shoppe Llc is an authorized DME supplier for medicare equipments and products.
Custom Prescription Shoppe Llc is a Long Term Care Pharmacy in Ferndale, Washington. It is located at 5917 Portal Way, Ferndale and it's customer support contact number is 360-685-4282. The authorized person of Custom Prescription Shoppe Llc is Kevin Faris who is Ceo of the pharmacy and his contact number is 360-685-4282. Active license number of Custom Prescription Shoppe Llc is CF00057668 for Long Term Care Pharmacy in Washington. Custom Prescription Shoppe Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Custom Prescription Shoppe Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Custom Prescription Shoppe Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Custom Prescription Shoppe Llc
Type:
Long Term Care Pharmacy
Location:
5917 Portal Way, Ferndale, Washington, 98248-9361
Phone:
360-685-4282
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kevin Faris
Position:
Ceo
Contact Number:
360-685-4282
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1932288438
NPI Enumeration Date:
03 Nov, 2006
NPI Last Update On:
01 Aug, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Prescription Shoppe Llc are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
CF00057668
Washington
Primary
Community/Retail Pharmacy
Secondary
Compounding Pharmacy
Secondary
Mail Order Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6026835
Medicaid
Washington
4930550
Other
Other Id Number
Medicare Enrollment:
Custom Prescription Shoppe Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
9436257003
O20070605000329
Custom Prescription Shoppe Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
9436257003
O20100930046582
Custom Prescription Shoppe Llc
DME SUPPLIER - PHARMACY
Products Available:
Custom Prescription Shoppe Llc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Diabetic Shoes & Inserts: Custom Fabricated
Diabetic Shoes & Inserts: Prefabricated
Nebulizer Equipment & Supplies
Ostomy Supplies
Surgical Dressings
Urological Supplies
Walkers
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5917 Portal Way, Ferndale, Washington
Zip:
98248-9361
Phone Number:
--
Fax Number:
--
Patients can reach Custom Prescription Shoppe Llc at 5917 Portal Way, Ferndale, Washington or can call on customer care at 360-685-4282.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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