Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225676794 Individual Practitioner Female Practitioner

Michaelene Custodio , PHARMACIST

Pharmacist • Richmond, VA

Professional Overview & Biography Verified Profile Summary

Michaelene Custodio, PHARMACIST is a registered healthcare professional specializing in Pharmacist in Richmond, VA. Practice services are available at 3514 W CARY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3514 W Cary St

Richmond, VA 232212729

Telephone 8043558533
Associated Practice Facility / Clinic
🏢 Virginia Cvs Pharmacy Llc Facility NPI 1154425817

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Richmond, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
503 Specialists

Practicing in Richmond, VA (6716 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-14
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License VA 0202220240

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License CA 80868

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Vatsal Shah

Pharmacist

NPI 1033714803
Jennifer Hevener , FNP

Nurse Practitioner - Family

NPI 1124666995

Family Nurse Practitioner

Kala Ave-Lallemant , FNP

Nurse Practitioner - Family

NPI 1235551656

Family Nurse Practitioner

NPI 1235734153

Doctor of Pharmacy (Pharm.D.)

NPI 1255006300

Doctor of Pharmacy (Pharm.D.)

Lauren Reynolds , FNP-C

Nurse Practitioner - Family

NPI 1407466741

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 14, 2023

Registered at 3514 W CARY ST, RICHMOND, VA 232212729 (Tel: 8043558533)

📍
Updated Business Mailing Address May 14, 2023

Registered at 3514 W CARY ST, RICHMOND, VA 232212729 (Tel: 8043558533)

NPI Profile Active December 16, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2019

Registered at 2115 ARTESIA BLVD STE 100, REDONDO BEACH, CA 902783013 (Tel: 4244086006)

📍
Updated Business Mailing Address December 16, 2019

Registered at 2519 ARLINGTON AVE APT B, TORRANCE, CA 905014450 (Tel: 3107555783)

👤
Provider Name / Credentials Updated December 16, 2019

Recorded as MICHAELENE CUSTODIO, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2019

Pharmacist (License #80868 in CA)

🟢
Initial NPI Registration & Enumeration December 16, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225676794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2019
Last Update: May 14, 2023
Sole Proprietor: No

Mailing Address

3514 W Cary St

Richmond, VA 232212729

Phone: 8043558533

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.