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Custom Prescription Shoppe LLC

Long Term Care Pharmacy in Ferndale, WA · enumerated 2006 · authorized official Kevin Faris, Ceo.

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

National Provider Identifier

1932288438

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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
Enumeration date Nov 3, 2006
Last updated in NPPES Aug 1, 2024

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Secondary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers · License CF00057668 (WA) Primary
3336M0002X Mail Order Pharmacy Suppliers Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
6026835 Medicaid WA -
4930550 Other - OTHER ID NUMBER

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

What is the NPI number for Custom Prescription Shoppe LLC?
The NPI for Custom Prescription Shoppe LLC is 1932288438, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Custom Prescription Shoppe LLC?
NPPES lists Kevin Faris (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-01.