CUSTOM DOSING EAST (NPI# 1962055186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962055186 |
| Entity Type | Organization |
| Organization Name | CUSTOM DOSING EAST |
| Practice Address |
4319 Franklin St Michigan City IN 46360-7806 |
| Practice Telephone | 2192216958 |
| Practice Fax Number | 2192216947 |
| Mailing Telephone | 2192216958 |
| Mailing Fax Number | 2192216947 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | BRITTANY CAUDILL (TECH/MANAGER) |
| Authorized Official Telephone | 2194871879 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Street Address |
4319 FRANKLIN ST |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-7806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934616 | Right Med Pharmacy, LLC | Pharmacy | 303 S Main St Ste 100, Mishawaka, IN 46544-2159 | 2019-10-24 |
| 1023678489 | Pure Pharmacy LLC | Pharmacy | 12425 Old Meridian St Ste B3, Carmel, IN 46032-8725 | 2019-06-18 |
| 1912461468 | Pain Management Centers of America | Pharmacy | 1101 Professional Blvd Ste 212, Evansville, IN 47714-8016 | 2019-01-29 |
| 1538678545 | Quality Care Pharmacy, LLC | Pharmacy | 4708 W Western Ave, South Bend, IN 46619-2306 | 2017-09-21 |
| 1891199295 | Anderson Healthcare Inc | Pharmacy | 350 S Van Buren St Ste F, Shipshewana, IN 46565-9197 | 2014-10-14 |
| 1528479946 | Ma Umiya LLC | Pharmacy | 112 N Randolph St, Garrett, IN 46738-1138 | 2014-05-20 |
| 1831529288 | Proscript LLC | Pharmacy | 9292 N Meridian St Ste 103, Indianapolis, IN 46260-1828 | 2013-11-22 |
| 1265795082 | Jay Shree Ganesh Inc | Pharmacy | 10124 Auburn Park Dr, Fort Wayne, IN 46825-2392 | 2012-06-18 |
| 1134493810 | North Anthony Pharmacy & Wellness Center Inc | Pharmacy | 3537 N Anthony Blvd Ste A, Fort Wayne, IN 46805-1423 | 2012-02-28 |
| 1699802082 | Winona Bldg. Pharmacy, Inc. | Pharmacy | 3266 N Meridian St Ste 106, Indianapolis, IN 46208-5839 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
Please comment or provide details below to improve the information on CUSTOM DOSING EAST.
| 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.