CUSTOM MEDS, INC. – NPI #1558417691
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.

CUSTOM MEDS, INC. is a pharmacy located in INVERNESS, FL. NPPES has assigned the NPI number 1558417691 to CUSTOM MEDS, INC. on January 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is MCCULLY SNYDER PHARMACY, INC.. The primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy

The NPI profile was previously updated about 11 years ago on Nov 10, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CUSTOM MEDS, INC. below.

NPI Profile for
CUSTOM MEDS, INC.

NPI Number
1558417691
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CUSTOM MEDS, INC.
Former Legal Business Name: MCCULLY SNYDER PHARMACY, INC.
Primary location
102 E. HIGHLAND BLVD.
INVERNESS, FL 34452
Phone: (352) 341-1212 Fax: (352) 341-2626
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JESSICA DILEO
PRESIDENT/OWNER
Phone: (352) 341-1212
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0004X
- Pharmacy / Compounding Pharmacy (Primary)
FL PH 12847

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.