CUSTOM PRESCRIPTION SHOPPE LLC
NPI 1932288438
Pharmacy - Long Term Care Pharmacy in Ferndale, WA

Active since November 03, 2006
5917 PORTAL WAY, FERNDALE, WA 98248(360) 685-4282 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 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 1932288438) is a healthcare organization registered as a long term care pharmacy in Ferndale, Washington and active in the NPI registry since November 2006. The organization lists Kevin Faris, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932288438
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCUSTOM PRESCRIPTION SHOPPE LLC
Location Address5917 PORTAL WAYFerndale, WA 98248-9361
Mailing Address5917 Portal WayFerndale, WA 98248-9361
Organization SubpartNo
Authorized OfficialKevin FarisCeo · (360) 685-4282
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 1, 2024
NPPES CertifiedApril 13, 2022
NPI 1932288438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License Licensed in WA · CF00057668
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.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
5917 PORTAL WAY, Ferndale, WA 98248

Other Identifiers 2

Medicaid6026835WA
Other4930550Other Id Number

Accepted Insurance

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
50 services50 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
50 services50 patients

Other Providers at the Same Location NPPES

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

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

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 1932288438. It was assigned to this organization in the NPPES registry on November 3, 2006.

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.

What insurance does Custom Prescription Shoppe LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Custom Prescription Shoppe 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 Custom Prescription Shoppe LLC was last updated on August 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.