NPIMap

Organization Active NPI

Customprescription Inc

  • Pharmacist
  • Columbus, OH
National Provider Identifier
1497035182
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03128002 Issued in OH
Legal business name
CUSTOMPRESCRIPTION INC
Practice address
1620 E Broad St
Suite 1005
Columbus, OH 43203-2072
Phone
(614) 397-6687
NPI assigned
Aug 25, 2011
Last updated
Aug 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Mr. Srikanth M Shivakumar, M.PHARM, RPHNPI 1649467945
Title
President
Phone
(614) 397-6687

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 03128002 OH Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1835P0018X 5302037600 MI

Addresses

Primary practice location

1620 E Broad St
Suite 1005
Columbus, OH 43203-2072

Mailing address

1620 E Broad St
Suite 1005
Columbus, OH 43203-2072
Phone (614) 397-6687

National Provider Directory

National Provider Directory
Tax ID family
Customprescription2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1497035182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 E BROAD ST",
            "address_2": "SUITE 1005",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432032072",
            "telephone_number": "614-397-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E BROAD ST",
            "address_2": "SUITE 1005",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432032072",
            "telephone_number": "614-397-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMPRESCRIPTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "SHIVAKUMAR",
        "authorized_official_first_name": "SRIKANTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-397-6687",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.PHARM, RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03128002",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302037600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.