Healthcare Provider Details

I. General information

NPI: 1053415380
Provider Name (Legal Business Name): PEOPLE'S CUSTOM RX & CLINICAL CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 E BROOKHAVEN CIRCLE
MEMPHIS TN
38117-4501
US

IV. Provider business mailing address

785 E BROOKHAVEN CIRCLE
MEMPHIS TN
38117-4501
US

V. Phone/Fax

Practice location:
  • Phone: 901-682-2273
  • Fax: 901-682-4146
Mailing address:
  • Phone: 901-682-2273
  • Fax: 901-682-4146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3257
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number3257
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER SHAWN GILBERT
Title or Position: OWNER, PHARMACIST
Credential: PHARMD
Phone: 901-682-2273