NPIMap

Organization Active NPI

Custom Care Pharmacy

  • Long Term Care Pharmacy
  • Milton, PA
National Provider Identifier
1144749979
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CUSTOM CARE PHARMACY
Practice address
59 S Front St
Milton, PA 17847-1110
Phone
(570) 246-5700
Fax
(570) 742-7500
NPI assigned
Sep 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Adam Rosinski, PHARMDNPI 1437427218
Title
President
Phone
(570) 246-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

59 S Front St
Milton, PA 17847-1110

Mailing address

59 S Front St
Milton, PA 17847-1110
Phone (570) 246-5700

Other names 1

  • Custom Care Pharmacy Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131015001483 PA Part B Supplier - Mass Immunization (Roster Biller Only) 3577721026 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sunbury, PA; Milton, PA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Custom Care Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

59 S Front St
Milton, PA 17847
Phone (570) 246-5700

439 Market St
Sunbury, PA 17801
Phone (570) 286-6711

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144749979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 S FRONT ST",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178471110",
            "telephone_number": "570-246-5700",
            "fax_number": "570-742-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 S FRONT ST",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178471110",
            "telephone_number": "570-246-5700",
            "fax_number": "570-742-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "ROSINSKI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-246-5700",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Care Pharmacy Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.