CUSTOM SCRIPT LLC
NPI 1053642041
Pharmacy - Community/Retail Pharmacy in Dearborn Heights, MI

NPI Status: Active since January 15, 2010

Contact Information

25302 W WARREN ST
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (810) 588-0000
Fax: (888) 647-8587

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About CUSTOM SCRIPT LLC

This page provides the complete NPI Profile along with additional information for Custom Script Llc, a provider established in Dearborn Heights, Michigan operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1053642041 assigned on January 2010. The practitioner's primary taxonomy code is 3336C0003X with license number 5301009280 (MI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Eyad Khadr (Owner)

NPI
1053642041
Provider Name
CUSTOM SCRIPT LLC
Entity Type
Organization
Location Address
25302 W WARREN ST DEARBORN HEIGHTS, MI 48127
Location Phone
(810) 588-0000
Location Fax
(888) 647-8587
Mailing Address
25302 W WARREN ST DEARBORN HEIGHTS, MI 48127
Mailing Phone
(810) 588-0000
Mailing Fax
(888) 647-8587
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2010
Last Update Date
03-23-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
5301009280
License State
MI
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

5301009280 (MI)
2332BD1200XSuppliers

Durable Medical Equipment & Medical Supplies
Dialysis Equipment & Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. EYAD KHADR

Authorized Official Title
OWNER
Authorized Official Phone
(810) 588-0000

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053642041
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103124408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 4 + 4 + 0 + 8 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1053642041 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487108866TRUHEALTH PHARMACY LLC
Organization
Pharmacy (Community/Retail Pharmacy)25302 W WARREN ST
DEARBORN HEIGHTS, MI 48127
(313) 769-5551
1083257166CORNER MED PHARMACY LLC
Organization
Pharmacy (Community/Retail Pharmacy)25302 W WARREN ST
DEARBORN HEIGHTS, MI 48127
(313) 912-8888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053642041, enumerated in the NPI registry as an "organization" on January 15, 2010

The provider is located at 25302 W Warren St Dearborn Heights, Mi 48127 and the phone number is (810) 588-0000

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

This NPI record was last updated on January 15, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.