Custom Care Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH28789 Issued in FL

Legal business name

CUSTOM CARE PHARMACY LLC

Practice address

9332 State Road 54 Ste 207
New Port Richey, FL 34655-1810

Phone

(727) 495-6979

Fax

(855) 855-6979

NPI assigned

Apr 22, 2016

Organization subpart

No

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

Authorized official

Name

Francoise Trotman

Title

Compliance Officer

Phone

(727) 267-8555

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CUSTOM CARE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1821442260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54",
            "address_2": "#207",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-495-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 207",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-495-6979",
            "fax_number": "855-855-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "TROTMAN",
        "authorized_official_first_name": "FRANCOISE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "727-267-8555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH28789",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUSTOM CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gemma M Cuomo Kay, LMHC
• Marielyne P Cuomo, L/PTA
• Delaney Patricia Curie, RBT
• Margaret Curran, CRNA
• Suzanne Cuspilich, P.T.
• D-Squared Solutions LLC
• Nancy D'Amico, S.L.P.
• Robert Peter D'Amico, DO
• Chantell D'Avignon, MOT OT/L
• Justin Dominic Dalli, OTR/L

• Pharmacy in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.