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CUSTOMCEUTICAL COMPOUNDING, LLC
NPI 1861782856
Pharmacy - Community/Retail Pharmacy in Phoenix, AZ

Active since April 12, 2011
4611 E SHEA BLVD, BLDG 3, STE 180, PHOENIX, AZ 85028(480) 516-0272 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Customceutical Compounding, Llc NPPES

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

CUSTOMCEUTICAL COMPOUNDING, LLC (NPI 1861782856) is a healthcare organization registered as a community/retail pharmacy in Phoenix, Arizona and active in the NPI registry since April 2011. The organization lists James W Burch, Partner, as its authorized official.

NPPES Registry Identity

NPI1861782856
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCUSTOMCEUTICAL COMPOUNDING, LLC
Location Address4611 E SHEA BLVD, BLDG 3, STE 180Phoenix, AZ 85028
Mailing Address4611 E Shea Blvd, Bldg 3, Ste 180Phoenix, AZ 85028-4254 · (480) 516-0272
Phone(480) 516-0272
Organization SubpartNo
Authorized OfficialJames W BurchPartner · (480) 516-0272
Enumeration DateApril 12, 2011
Last NPPES UpdateAugust 29, 2018
✔ NPI 1861782856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AZ · Y005317
Definition
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.
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X · License Y005317 (AZ)
4611 E SHEA BLVD, Phoenix, AZ 85028
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Other Identifiers 1

Medicaid960917AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 9

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

MOSC, LLC
Clinic/Center (Ambulatory Surgical)
4611 E SHEA BLVD, SUITE 100
PHOENIX, AZ 85028
Maricopa County (602) 996-4713
DR. MICHAEL ANTHONY SEIVERT D.O.
Orthopaedic Surgery (Sports Medicine)
4611 E SHEA BLVD, SUITE 200
PHOENIX, AZ 85028
Maricopa County (602) 265-9900
ALI M MOSHARRAFA MD
Surgery (Plastic and Reconstructive Surgery)
4611 E SHEA BLVD, SUITE 230
PHOENIX, AZ 85028
Maricopa County (602) 513-8166
DR. KYLE VAUGHN D.P.M.
Podiatrist (Foot & Ankle Surgery)
4611 E SHEA BLVD, SUITE 160
PHOENIX, AZ 85028
Maricopa County (480) 705-9920
SUSAN K OLES DMD PLLC
Dentist (General Practice)
4611 E SHEA BLVD, SUITE 110
PHOENIX, AZ 85028
Maricopa County (602) 840-2190
SEIVERT ORTHOPEDICS AND SPORTS MEDICINE,PC
Orthopaedic Surgery (Sports Medicine)
4611 E SHEA BLVD, SUITE 200
PHOENIX, AZ 85028
Maricopa County (602) 265-9900
DR. JASON A KAYCE DPM
Podiatrist (Foot & Ankle Surgery)
4611 E SHEA BLVD, SUITE 160
PHOENIX, AZ 85028
Maricopa County (480) 705-9920
MOSHARRAFA PLASTIC SURGERY PLC
Surgery (Plastic and Reconstructive Surgery)
4611 E SHEA BLVD, SUITE 230
PHOENIX, AZ 85028
Maricopa County (602) 513-8133

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 Customceutical Compounding, LLC's NPI number?

The NPI number for Customceutical Compounding, LLC is 1861782856. It was assigned to this organization in the NPPES registry on April 12, 2011.

Where is Customceutical Compounding, LLC located?

Customceutical Compounding, LLC is located at 4611 E Shea Blvd Bldg 3, Ste 180, Phoenix, AZ 85028. The listed phone number is (480) 516-0272.

What is Customceutical Compounding, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Customceutical Compounding, LLC accept?

Health plans from Medica list Customceutical Compounding, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Customceutical Compounding, LLC was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.