CUSTOM SCRIPT INFUSION VITAL CARE LLC (NPI# 1801119110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801119110 |
| Entity Type | Organization |
| Organization Name | CUSTOM SCRIPT INFUSION VITAL CARE LLC |
| Other Organization Name | CUSTOM SCRIPT PHARMACY |
| Practice Address |
3738 Teays Valley Rd Suite C Hurricane WV 25526-9705 |
| Mailing Address |
Po Box 361 Clearfield KY 40313-0361 |
| Practice Telephone | 3047333784 |
| Practice Fax Number | 3047331398 |
| Mailing Telephone | 6067800009 |
| Mailing Fax Number | 6067800167 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | NICK HOPKINS (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 3047333784 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
SP0552452 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2123986 | 01 |
| Other Name | Type Code |
|---|---|
| CUSTOM SCRIPT PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720320088 | Custom Script Infusion Vital Care LLC | Pharmacy | 3738 Teays Valley Rd, Suite B, Hurricane, WV 25526-9705 | 2013-03-25 |
| Street Address |
3738 TEAYS VALLEY RD SUITE C |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720320088 | Custom Script Infusion Vital Care LLC | Pharmacy | 3738 Teays Valley Rd, Suite B, Hurricane, WV 25526-9705 | 2013-03-25 |
| 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 | 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] |
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|---|---|---|---|---|
| 1508004888 | Walmart Inc. | Pharmacy | 180 N 3400 W, Hurricane, UT 84737-3031 | 2009-01-26 |
| 1598874695 | Lin's Supermarkets Inc | Pharmacy | 1120 W State St, Hurricane, UT 84737-3433 | 2006-08-30 |
| 1073038733 | Walgreen Co | Pharmacy | 3114 Teays Valley Rd, Hurricane, WV 25526 | 2017-08-03 |
| 1568749646 | Rite Aid | Pharmacy | 4016 State Route 34, Hurricane, WV 25526-9009 | 2011-11-03 |
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| 1063043891 | Whitesville Family Pharmacy, Inc | Pharmacy | 38800 Coal River Rd, Whitesville, WV 25209 | 2020-01-30 |
| 1992344568 | Mountain Valley LLC | Pharmacy | 827 Fairmont Rd Ste 104, Morgantown, WV 26501-3857 | 2019-12-31 |
| 1366080699 | Freedom Pharmacy | Pharmacy | 1520 Main St E, Oak Hill, WV 25901-2745 | 2019-12-17 |
| 1386288264 | Bfprx LLC | Pharmacy | 198 Morgantown St Ste 1, Bruceton Mills, WV 26525-5003 | 2019-11-04 |
| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
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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.