NPIMap

Organization Active NPI

Custom Meds, Inc.

  • Compounding Pharmacy
  • Inverness, FL
National Provider Identifier
1558417691
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PH 12847 Issued in FL
Legal business name
CUSTOM MEDS, INC.
Practice address
102 E. Highland Blvd.
Inverness, FL 34452
Phone
(352) 341-1212
Fax
(352) 341-2626
NPI assigned
Jan 25, 2007
Last updated
Nov 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Jessica Dileo, PHARMD
Title
President/Owner
Phone
(352) 341-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X PH 12847 FL Primary

Addresses

Primary practice location

102 E. Highland Blvd.
Inverness, FL 34452

Mailing address

102 E. Highland Blvd.
Inverness, FL 34452
Phone (352) 341-1212

Other names 1

  • McCully Snyder Pharmacy, Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1558417691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E. HIGHLAND BLVD.",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34452",
            "telephone_number": "352-341-1212",
            "fax_number": "352-341-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E. HIGHLAND BLVD.",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34452",
            "telephone_number": "352-341-1212",
            "fax_number": "352-341-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM MEDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "DILEO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "352-341-1212",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH 12847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCully Snyder Pharmacy, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.