NPIMap

Organization Active NPI

Customprescription

  • Pharmacist
  • Columbus, OH
National Provider Identifier
1578848149
Registry record updated Oct 14, 2011
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Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03128002 Issued in OH
Legal business name
CUSTOMPRESCRIPTION
Practice address
1620 E Broad St Apt 1005
Columbus, OH 43203-2027
Phone
(614) 397-6687
NPI assigned
Oct 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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,RPH
Title
President
Phone
(614) 397-6687

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 03128002 OH Primary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 5302037600 MI

Addresses

Primary practice location

1620 E Broad St Apt 1005
Columbus, OH 43203-2027

Mailing address

1620 E Broad St Apt 1005
Columbus, OH 43203-2027
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.

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1578848149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 E BROAD ST APT 1005",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432032027",
            "telephone_number": "614-397-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E BROAD ST APT 1005",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432032027",
            "telephone_number": "614-397-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMPRESCRIPTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "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": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "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 Oct 14, 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.