Custom Script Infusion Vital Care LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552452 Issued in WV

Legal business name

CUSTOM SCRIPT INFUSION VITAL CARE LLC

Practice address

3738 Teays Valley Rd
Suite C
Hurricane, WV 25526-9705

Phone

(304) 733-3784

Fax

(304) 733-1398

NPI assigned

Mar 2, 2010

Organization subpart

No

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

Authorized official

Name

Nick Hopkins

Title

Pharmacist in Charge

Phone

(304) 733-3784

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CUSTOM SCRIPT PHARMACY Doing business as

Tax ID family

Custom Script Infusion Vital Care LLC2 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.

• Custom Script Pharmacy

  • Oxygen Equipment & Supplies (DME)
  • Hurricane, WV
  • NPI 1104227602
  NPD tax ID

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1801119110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "CLEARFIELD",
            "state": "KY",
            "postal_code": "403130361",
            "telephone_number": "606-780-0009",
            "fax_number": "606-780-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 TEAYS VALLEY RD",
            "address_2": "SUITE C",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269705",
            "telephone_number": "304-733-3784",
            "fax_number": "304-733-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM SCRIPT INFUSION VITAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "304-733-3784"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552452",
            "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": "2123986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUSTOM SCRIPT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crytzer Group LLC D/B/a Kinstead Family Services LLC
• Mary Crytzer
• Michele Marie Cunningham, CPHT
• Steven Everett Cunningham, RPH
• Custom Script Infusion Vital Care LLC
• Custom Script Pharmacy
• Bailey Kathryn D'Antoni, MA, LPC
• Tara Leanne Daniels, CRNA
• Daquest Care Transport LTD Co.
• Kiera Daugherty, DPT, PT

• Community/Retail Pharmacy in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.