Custom Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.018588 Issued in IL

Legal business name

CUSTOM CARE PHARMACY LLC

Practice address

7007 North Ave
Oak Park, IL 60302-1001

Phone

(708) 628-5464

NPI assigned

Jun 12, 2014

Organization subpart

No

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

Authorized official

Name

Vishali Patel, RPH

Title

Pic/ Owner

Phone

(661) 319-1150

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Custom Care Pharmacy LLC Doing business as

Locations

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1699189134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021001",
            "telephone_number": "708-628-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021001",
            "telephone_number": "708-628-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHALI",
        "authorized_official_title_or_position": "PIC/ OWNER",
        "authorized_official_telephone_number": "661-319-1150",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.018588",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Care Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasmain Curley
• Joanna Marie Curran, MD
• Alexis Currie
• Alisha Cusick
• Amanda Custodio
• Laura A Cuttone, OT
• D. Fulton Family Therapy Inc.
• D.O.C, Family Practice, S.C.
• Nausica D' Alfonso- Laghi, MD
• Netta D'Souza, MD, NMD

• Community/Retail Pharmacy in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.