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CUSTOM PRESCRIPTION SHOPPE
NPI 1053370932
Pharmacy - Compounding Pharmacy in Augusta, GA

Active since March 21, 2006
1543 15 STREET, AUGUSTA, GA 30901(706) 737-3955(706) 737-6323 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Custom Prescription Shoppe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOM PRESCRIPTION SHOPPE (NPI 1053370932) is a healthcare organization registered as a compounding pharmacy in Augusta, Georgia and active in the NPI registry since March 2006. The organization lists Eric Holgate, President, as its authorized official.

NPPES Registry Identity

NPI1053370932
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameDURAMED HEALTHCARE INC
Location Address1543 15 STREETAugusta, GA 30901
Mailing Address1543 15 StreetAugusta, GA 30901 · (706) 737-3955 · Fax (706) 737-6323
Phone(706) 737-3955
Fax(706) 737-6323
Organization SubpartNo
Authorized OfficialEric HolgatePresident · (706) 737-3955
Enumeration DateMarch 21, 2006
Last NPPES UpdateDecember 30, 2013
✔ NPI 1053370932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in GA · PHRE007052
Definition
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.
1543 15 STREET, Augusta, GA 30901
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Other Names 1

Doing Business AsCustom Prescription Shoppe

Other Identifiers 2

Medicare ID-Type Unspecified0184210001
Medicaid000398461AGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DURAMED MEDICAL SERVICES
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1543 15 STREET
AUGUSTA, GA 30901
Richmond County (706) 737-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Duramed Healthcare Inc's NPI number?

The NPI number for Duramed Healthcare Inc is 1053370932. It was assigned to this organization in the NPPES registry on March 21, 2006. The provider is doing business as Custom Prescription Shoppe.

Where is Duramed Healthcare Inc located?

Duramed Healthcare Inc is located at 1543 15 Street, Augusta, GA 30901. The listed phone number is (706) 737-3955.

What is Duramed Healthcare Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Duramed Healthcare Inc was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.