Custom Dosing North PC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

054019539 Issued in IL

Legal business name

CUSTOM DOSING NORTH PC

Doing business as

Custom Dosing Pharmacy

Practice address

2701 Beech St
Unit R
Valparaiso, IN 46383-6010

Phone

(219) 465-2181

Fax

(219) 464-4382

NPI assigned

Jul 20, 2011

Last updated

Mar 17, 2017By 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

Jeff Barton, RPH

Title

Owner

Phone

(219) 465-2181

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Custom Dosing Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1407144777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BEECH ST",
            "address_2": "UNIT R",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836010",
            "telephone_number": "219-465-2181",
            "fax_number": "219-464-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 BEECH ST",
            "address_2": "UNIT R",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836010",
            "telephone_number": "219-465-2181",
            "fax_number": "219-464-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM DOSING NORTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-465-2181",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60006264A",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IL",
            "license": "054019539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130963",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Dosing Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ayva Cunningham
• Kailynn Denise Curtis, LSW
• Katherine Nicole Curtis, APRN
• Tina M Curtis
• Tracey Lee Curtis, DC
• Christopher Rome Dabbs II, PHD
• Charles Andrew Dalrymple Jr., LMHC
• Jessica C Daly, LMT
• Atimanaparampil N. Damodaran, M.D.
• Luke A. Darling, D.D.S.

• Compounding Pharmacy in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Compounding Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.