Organization Active NPI

Custom Dosing East

  • Compounding Pharmacy
  • Michigan City, IN
National Provider Identifier
1962055186
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
CUSTOM DOSING EAST
Practice address
4319 Franklin St
Michigan City, IN 46360-7806
Phone
(219) 221-6958
Fax
(219) 221-6947
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Brittany Caudill
Title
Tech/Manager
Phone
(219) 487-1879

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

4319 Franklin St
Michigan City, IN 46360-7806

Mailing address

4319 Franklin St
Michigan City, IN 46360-7806
Phone (219) 221-6958

National Provider Directory

National Provider Directory

Locations

4319 Franklin St
Michigan City, IN 46360
Phone (219) 221-6958

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1962055186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607806",
            "telephone_number": "219-221-6958",
            "fax_number": "219-221-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607806",
            "telephone_number": "219-221-6958",
            "fax_number": "219-221-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM DOSING EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "TECH/MANAGER",
        "authorized_official_telephone_number": "219-487-1879"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.