Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Prescription Shoppe LLC

Organization Long Term Care Pharmacy · NPI 1912739590

Custom Prescription Shoppe LLC is a Long Term Care Pharmacy in Ferndale, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5917 Portal Way
Ferndale, WA 98248-9361
Phone: (360) 685-4282
Fax: (360) 685-4283
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1912739590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Faris — Ceo · (360) 685-4282
Other names Custom Rx Shoppe
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing address5917 Portal Way, Ferndale, WA 98248-9361