Custom Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

Y005191 Issued in AZ

Legal business name

CUSTOM PHARMACY LLC

Doing business as

custom rx

Practice address

4320 E Brown Rd
Suite 106
Mesa, AZ 85205-4082

Phone

(480) 832-9008

Fax

(480) 832-9167

NPI assigned

Jul 14, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Kay Hardman

Title

Mamager

Phone

(480) 832-9008

Specialties & licenses 1

Addresses

Other names 1

• custom rx Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven R Hardman, RPH

  • Pharmacist
  • Mesa, AZ
  • NPI 1174830137
  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1942512330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 E BROWN RD",
            "address_2": "SUITE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054082",
            "telephone_number": "480-832-9008",
            "fax_number": "480-832-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 E BROWN RD",
            "address_2": "SUITE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054082",
            "telephone_number": "480-832-9008",
            "fax_number": "480-832-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "HARDMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MAMAGER",
        "authorized_official_telephone_number": "480-832-9008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AZ",
            "license": "Y005191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "custom rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas J Curtis, PT,DSC,OCS
• Christine Curtisi, RN
• Elaine Cusano, MS CCC
• Shannon Leigh Cushman, MS CCC SLP
• Stephen Alan Cushner, M.D.
• Custom Smile LLC
• Casey D Cutler, DDS
• Douglas Cutler Scott Cutler, M.A., CCC-SLP
• Marco Antonio Cuyar, MS, LPC, LISAC, NCC
• CVCC, LLC (Chula Vista Care Center)

• Compounding Pharmacy in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Compounding Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.