Custom Pharmacy Solutions

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

112911 Issued in AL

Legal business name

CUSTOM PHARMACY SOLUTIONS

Practice address

2637 Valleydale Rd
Hoover, AL 35244-2075

Phone

(205) 988-3383

Fax

(202) 988-3553

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Laurie Dickinson, PHARM.D.

Title

Pharmacist in Charge

Phone

(205) 988-3383

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CUSTOM PHARMACY SOLUTIONS Doing business as

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1902949068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 VALLEYDALE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442075",
            "telephone_number": "205-988-3383",
            "fax_number": "205-988-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 VALLEYDALE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442075",
            "telephone_number": "205-988-3383",
            "fax_number": "202-988-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM PHARMACY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "205-988-3383",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112911",
            "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": "1996004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUSTOM PHARMACY SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Rosario Abano Cumagun, MD
• Melissa Ann Curl, OD
• Kelly Curry, LICSW, PIP
• Barry John Curtis, O.D.
• Priscilla Curtis, PHARMD
• D Michele Jackson
• Andrew Dahl, DPT
• Nawwaf Dahwan
• Alexandria Daigler, DPT
• Jennifer L Daigrepont, PT

• Community/Retail Pharmacy in Hoover, AL
• Providers in Hoover, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.