CUSTOM SCRIPT INFUSION VITAL CARE LLC (NPI# 1720320088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720320088 |
| Entity Type | Organization |
| Organization Name | CUSTOM SCRIPT INFUSION VITAL CARE LLC |
| Other Organization Name | CUSTOM SCRIPT INFUSION VITAL CARE |
| Practice Address |
3738 Teays Valley Rd Suite B Hurricane WV 25526-9705 |
| Practice Telephone | 3045433292 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2014-12-08 |
| Authorized Official Name | CHAD A WALLACE (VP OPERATIONS) |
| Authorized Official Telephone | 3045433292 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
MP0552402 | WV | Suppliers |
| N | 333600000X | Pharmacy | MP0552402 | WV | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
MP0552402 | WV | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MP0552402 | WV | Suppliers |
| Other Name | Type Code |
|---|---|
| Custom Script Infusion Vital Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801119110 | Custom Script Infusion Vital Care LLC | Pharmacy | 3738 Teays Valley Rd, Suite C, Hurricane, WV 25526-9705 | 2010-03-02 |
| Street Address |
3738 TEAYS VALLEY RD SUITE B |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801119110 | Custom Script Infusion Vital Care LLC | Pharmacy | 3738 Teays Valley Rd, Suite C, Hurricane, WV 25526-9705 | 2010-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821418187 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3890 Teays Valley Rd, Hurricane, WV 25526-9720 | 2014-04-24 |
| 1124257613 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 3000 Teays Valley Rd, Hurricane, WV 25526-1373 | 2009-07-07 |
| 1780834374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1235 W State St, Hurricane, UT 84737-3539 | 2008-09-19 |
| 1134223811 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3901 Teays Valley Rd, Hurricane, WV 25526-9604 | 2006-09-12 |
| 1770694861 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 3114 Teays Valley Road, Hurricane, WV 25526-1335 | 2006-08-31 |
| 1275538308 | Physicians Choice, LLC | Durable Medical Equipment & Medical Supplies | 4003 Out Look Dr, Ste 1, Hurricane, WV 25526-9468 | 2005-06-16 |
| 1922524909 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 215 State Route 34, Hurricane, WV 25526-7003 | 2017-08-21 |
| 1609287275 | International Rehabilitative Sciences Inc. | Durable Medical Equipment & Medical Supplies | 3761 Teays Valley Rd, Hurricane, WV 25526-9705 | 2014-05-16 |
| 1861653594 | Area Connect | Durable Medical Equipment & Medical Supplies | 3400 Teays Valley Rd, Ste B, Hurricane, WV 25526-9321 | 2008-06-25 |
| 1487838132 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 167 Progress Way, Hurricane, WV 25526-7450 | 2007-12-18 |
| Find all providers in HURRICANE | ||||
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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.