MD CUSTOM RX
NPI 1114960994
Pharmacy - Specialty Pharmacy in Glendale, WI
- Organization
- Pharmacy
- Specialty Pharmacy
About MD CUSTOM RX
This page provides the complete NPI Profile along with additional information for Md Custom Rx, a provider established in Glendale, Wisconsin operating as a Pharmacy, focusing in specialty pharmacy . The healthcare provider is registered in the NPI registry with number 1114960994 assigned on June 2006. The practitioner's primary taxonomy code is 3336S0011X with license number 8506042 (WI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Md Custom Rx. The authorized official of this NPI record is Monica Marie Zatarski (Owner President)
- NPI
- 1114960994 Verify this NPI
- Provider Legal Name
- GLENDALE PRESCRIPTION CENTER INC
- Other Organization Name
- MD CUSTOM RX
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5322 N PORT WASHINGTON RD GLENDALE, WI 53217
- Location Phone
- (414) 967-9248
- Location Fax
- (414) 967-9548
- Mailing Address
- 5322 N PORT WASHINGTON RD GLENDALE, WI 53217
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-13-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Specialty Pharmacy
- Taxonomy Code
- 3336S0011X
- Type
- Suppliers
- License No.
- 8506042
- License State
- WI
- Taxonomy Description
- A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5128738 | OTHER (01) | OTHER ID NUMBER-COMMERCIAL NUMBER |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114960994, enumerated as an "organization" on June 13, 2006.
The provider is located at 5322 N PORT WASHINGTON RD GLENDALE, WI 53217 and the phone number is (414) 967-9248.
Pharmacy with taxonomy code 3336S0011X and a focus in Specialty Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
