CUSTOM PRESCRIPTION SHOPPE LLC
NPI 1912739590
Pharmacy - Long Term Care Pharmacy in Ferndale, WA

NPI Status: Active since August 14, 2024

Contact Information

5917 PORTAL WAY
FERNDALE, WA
ZIP 98248
Phone: (360) 685-4282
Fax: (360) 685-4283

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About CUSTOM PRESCRIPTION SHOPPE LLC

This page provides the complete NPI Profile along with additional information for Custom Prescription Shoppe Llc, a provider established in Ferndale, Washington operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1912739590 assigned on August 2024. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kevin Faris Rph (Ceo)

NPI
1912739590
Provider Name
CUSTOM PRESCRIPTION SHOPPE LLC
Entity Type
Organization
Location Address
5917 PORTAL WAY FERNDALE, WA 98248
Location Phone
(360) 685-4282
Location Fax
(360) 685-4283
Mailing Address
5917 PORTAL WAY FERNDALE, WA 98248
Mailing Phone
(360) 685-4282
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2024
Last Update Date
08-14-2024
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Custom Prescription Shoppe Llc is a medicare supplier with PTAN 20595581 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Nebulizer Equipment and/or Supplies.

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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 Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
Taxonomy Description
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN FARIS RPH

Authorized Official Title
CEO
Authorized Official Phone
(360) 685-4282

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20595581
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912739590, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 1 + 4 + 3 + 1 + 8 + 5 + 1 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1912739590.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacy (Long Term Care Pharmacy)
5917 PORTAL WAY
FERNDALE, WA 98248

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912739590, enumerated as an "organization" on August 14, 2024.

The provider is located at 5917 PORTAL WAY FERNDALE, WA 98248 and the phone number is (360) 685-4282.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.