CUSTOM PRESCRIPTIONS OF LANCASTER, LLC (NPI# 1487857207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487857207 |
| Entity Type | Organization |
| Organization Name | CUSTOM PRESCRIPTIONS OF LANCASTER, LLC |
| Practice Address |
902 N Duke St Lancaster PA 17602 |
| Mailing Address |
900 N Duke St Lancaster PA 17602-1906 |
| Practice Telephone | 7173930518 |
| Practice Fax Number | 7173930519 |
| Mailing Telephone | 7173930518 |
| Mailing Fax Number | 7173930519 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DIANE M BOOMSMA (PRESIDENT) |
| Authorized Official Telephone | 7173930518 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP481682 | PA | Suppliers |
| X | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PP481682 | PA | Suppliers |
| X | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PP481682 | PA | Suppliers |
| Street Address |
902 N DUKE ST |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447885611 | Ras Pharmacy LLC | Pharmacy | 3250 W Pleasant Run Rd Ste 165, Lancaster, TX 75146-1071 | 2020-03-09 |
| 1588142293 | Wegmans Food Markets, Inc. | Pharmacy | 2000 Crossings Blvd, Lancaster, PA 17601 | 2018-08-03 |
| 1568982858 | Patient First Pharmacy Inc | Pharmacy | 902 Manor St, Lancaster, PA 17603-5052 | 2017-06-27 |
| 1144620667 | Regional Care Pharmacy, Inc. | Pharmacy | 326 E Avenue I, Lancaster, CA 93535-1914 | 2014-09-03 |
| 1811140817 | The Tamarkin Company | Pharmacy | 1394 Ety Shops Way, Lancaster, OH 43130 | 2008-11-04 |
| 1790954378 | Taoheed Hasan | Pharmacy | 1324 W Avenue J Ste 1, Lancaster, CA 93534-2948 | 2008-02-27 |
| 1629199187 | Smithgall Pharmacy | Pharmacy | 536 W Lemon St, Lancaster, PA 17603-3323 | 2007-04-03 |
| 1427191584 | Smithgall Bros Co Pharmacy | Pharmacy | 714 Columbia Ave, Lancaster, PA 17603-3635 | 2007-02-15 |
| 1487791570 | Garvey's Pharmacy | Pharmacy | 716 N Franklin St, Lancaster, PA 17602-2174 | 2007-01-30 |
| 1063599827 | Rls Supermarkets LLC | Pharmacy | 1450 W Pleasant Run Rd, Ste 200, Lancaster, TX 75146-3741 | 2006-11-01 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.