CUSTOMCEUTICAL COMPOUNDING, LLC
NPI 1861782856
Pharmacy - Community/Retail Pharmacy in Phoenix, AZ
- Organization
- Pharmacy
- Community/Retail Pharmacy
- Accepts Insurance
About CUSTOMCEUTICAL COMPOUNDING, LLC
This page provides the complete NPI Profile along with additional information for Customceutical Compounding, Llc, a provider established in Phoenix, Arizona operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1861782856 assigned on April 2011. The practitioner's primary taxonomy code is 3336C0003X with license number Y005317 (AZ). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. James W Burch (Partner)
- NPI
- 1861782856 Verify this NPI
- Provider Name
- CUSTOMCEUTICAL COMPOUNDING, LLC
- Entity Type
- Organization
- Location Address
- 4611 E SHEA BLVD BLDG 3, STE 180 PHOENIX, AZ 85028
- Location Phone
- (480) 516-0272
- Mailing Address
- 4611 E SHEA BLVD BLDG 3, STE 180 PHOENIX, AZ 85028
- Mailing Phone
- (480) 516-0272
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-12-2011
- Last Update Date
- 08-29-2018
- 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 Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- Y005317
- License State
- AZ
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3336C0004X | Suppliers | Pharmacy | Y005317 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Standard - EPO
- Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
- Medica with MU Health Care Bronze Premier - EPO
- Medica with MU Health Care Expanded Bronze Standard - EPO
- Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
- Medica with MU Health Care Gold Share - EPO
- Medica with MU Health Care Gold Standard - EPO
- Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
- Medica with MU Health Care Silver Share - EPO
- Medica with MU Health Care Silver Standard - EPO
- Select by Medica Bronze $0 Copay PCP Visits - EPO
- Select by Medica Bronze Share - EPO
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 |
|---|---|---|---|
| 960917 | MEDICAID (05) | AZ |
Reviews for CUSTOMCEUTICAL COMPOUNDING, LLC
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Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
PHOENIX, AZ 85028
PHOENIX, AZ 85028
PHOENIX, AZ 85028
PHOENIX, AZ 85028
PHOENIX, AZ 85028
PHOENIX, AZ 85028
PHOENIX, AZ 85028
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861782856, enumerated as an "organization" on April 12, 2011.
The provider is located at 4611 E SHEA BLVD BLDG 3, STE 180 PHOENIX, AZ 85028 and the phone number is (480) 516-0272.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
