Custom Car Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07732 Issued in NC

Legal business name

CUSTOM CAR PHARMACY, INC

Practice address

2500 Battleground Ave Ste C
Greensboro, NC 27408-4030

Phone

(336) 289-0074

Fax

(336) 286-6696

NPI assigned

Sep 16, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Anne Meade King, PHARMD.NPI 1043316045

Title

President

Phone

(336) 289-9969

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Anne Meade King, PHARMD.

  • Pharmacist
  • Greensboro, NC
  • NPI 1043316045
  NPD (past) Authorized official
• Edwin Harrison Meade Sr., RPH.

  • Pharmacist
  • Greensboro, NC
  • NPI 1225136476
  NPD (past)
• Misty Dawn Reavis, PHARM.D.

  • Pharmacist
  • Greensboro, NC
  • NPI 1295831055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1093811093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BATTLEGROUND AVE STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084030",
            "telephone_number": "336-289-0074",
            "fax_number": "336-286-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BATTLEGROUND AVE STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084030",
            "telephone_number": "336-289-0074",
            "fax_number": "336-286-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CAR PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ELIZABETH ANNE",
        "authorized_official_middle_name": "MEADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-289-9969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "07732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0417922",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3438606",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PHARMACY PERMIT NUMBER",
            "identifier": "07732",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anson Curtis, RN
• Carol A Curtis, RNCWHNP
• Che Ayisha Curtis, NP
• Joseph Dale Curtis, DDS
• Lauren Cushnie, PHARMD
• Sabina Custovic, D.O.
• Michael Jeffrey Cuttler, PH.D.
• CV Remote Solutions PC
• CVS Health
• CVS Medical Associates, P.C.

• Community/Retail Pharmacy in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.