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

Active since August 14, 2024
5917 PORTAL WAY, FERNDALE, WA 98248(360) 685-4282(360) 685-4283 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Custom Prescription Shoppe Llc NPPES

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

CUSTOM PRESCRIPTION SHOPPE LLC (NPI 1912739590), doing business as Custom Rx Shoppe, is a healthcare organization registered as a long term care pharmacy in Ferndale, Washington and active in the NPI registry since August 2024. The organization lists Kevin Faris, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912739590
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCUSTOM PRESCRIPTION SHOPPE LLC
Location Address5917 PORTAL WAYFerndale, WA 98248-9361
Mailing Address5917 Portal WayFerndale, WA 98248-9361 · (360) 685-4282
Phone(360) 685-4282
Fax(360) 685-4283
Organization SubpartNo
Authorized OfficialKevin FarisCeo · (360) 685-4282
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
✔ NPI 1912739590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
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.
5917 PORTAL WAY, Ferndale, WA 98248
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Other Names 1

Doing Business AsCustom Rx Shoppe

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Custom Prescription Shoppe LLC carries, from the Medicare DMEPOS supplier directory.

Custom Prescription Shoppe LLC

DMEPOS supplier · Ferndale, WA
⋮

Does not accept Medicare assignment

Custom Prescription Shoppe LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20595581
Medicare Participant SinceSeptember 10, 2003
Supplier Location5917 Portal WayFerndale, WA 98248
Phone(360) 685-4282
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

CUSTOM PRESCRIPTION SHOPPE LLC
Pharmacy (Long Term Care Pharmacy)
5917 PORTAL WAY
FERNDALE, WA 98248
Whatcom County (360) 685-4282

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 Custom Prescription Shoppe LLC's NPI number?

The NPI number for Custom Prescription Shoppe LLC is 1912739590. It was assigned to this organization in the NPPES registry on August 14, 2024. The provider is doing business as Custom Rx Shoppe.

Where is Custom Prescription Shoppe LLC located?

Custom Prescription Shoppe LLC is located at 5917 Portal Way, Ferndale, WA 98248. The listed phone number is (360) 685-4282.

What is Custom Prescription Shoppe LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Custom Prescription Shoppe LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Custom Prescription Shoppe LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Custom Prescription Shoppe LLC was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.