Custom Prescriptions of Lancaster, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PP481682 Issued in PA

Legal business name

CUSTOM PRESCRIPTIONS OF LANCASTER, LLC

Practice address

902 N Duke St
Lancaster, PA 17602

Phone

(717) 393-0518

Fax

(717) 393-0519

NPI assigned

Jun 8, 2007

Last updated

Feb 2, 2021By 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. Diane M Boomsma, PHARM DNPI 1184619868

Title

President

Phone

(717) 393-0518

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

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.

• Diane M Boomsma, PHARM D

  • Pharmacist
  • Lancaster, PA
  • NPI 1184619868
  NPD Authorized official
• Georges Lahoud, PHARMD, PHD

  • Pharmacist
  • Lancaster, PA
  • NPI 1013505742
  NPD

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1487857207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021906",
            "telephone_number": "717-393-0518",
            "fax_number": "717-393-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17602",
            "telephone_number": "717-393-0518",
            "fax_number": "717-393-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM PRESCRIPTIONS OF LANCASTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "BOOMSMA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-393-0518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481682",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "PA",
            "license": "PP481682",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "PA",
            "license": "PP481682",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://v106.rxescript.com/Subscriber/Mailbox.asmx",
            "affiliation": "N",
            "endpointDescription": "Surescript",
            "address_1": "902 N Duke St",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna M. Curran, CHE
• Michael Matthew Curran, RPH
• Pamela J Currie, CRNP
• William Curtin
• Lisa Cushner, LPN
• Celia Cutchall
• Karen Lee Cutti, M.S., C.G.C.
• Michelle Arliene Cybulski, MOT, OTR/L
• Dawn Jarvie Cypher, SLP
• David J Cziperle, MD

• Compounding Pharmacy in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Compounding Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.