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Custom Prescription Shoppe LLC

Long Term Care Pharmacy in Ferndale, WA · enumerated 2024 · authorized official Kevin Faris, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912739590

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Registry record

Entity type Organization (Type 2)
Legal business name Custom Prescription Shoppe LLC
Practice address 5917 Portal Way, Ferndale, WA, 98248
Phone (360) 685-4282
Fax (360) 685-4283
Enumeration date Aug 14, 2024
Last updated in NPPES Aug 14, 2024

Taxonomy & classification

3336L0003X Long Term Care Pharmacy Suppliers Primary

Authorized official

Name Kevin Faris
Title Ceo
Phone (360) 685-4282

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Custom Prescription Shoppe LLC located?
The practice location on file with NPPES is in Ferndale, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-08-14. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-14.