Custom Dosing Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60005445A Issued in IN

Legal business name

CUSTOM DOSING PHARMACY

Doing business as

Custom Dosing Pharmacy PC

Practice address

1000 Breuckman Dr
Crown Point, IN 46307

Phone

(219) 226-9019

Fax

(219) 661-9057

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Steven Barton, RPH

Title

President

Phone

(219) 226-9019

Specialties & licenses 1

Addresses

Other names 1

• Custom Dosing Pharmacy PC Doing business as

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760552871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BREUCKMAN DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-226-9019",
            "fax_number": "219-661-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BREUCKMAN DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-226-9019",
            "fax_number": "219-661-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM DOSING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-226-9019",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005445A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Dosing Pharmacy PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paige Cyr, RBT
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• Shreyasi H. Dalal, MD
• Lisa Collette Danko
• Mignonette Darlene

• Community/Retail Pharmacy in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.