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NPI · 1508162454 · NPPES-sourced

Customedica Pharmacy INC

ActiveCompounding Pharmacy
NPI Number
1508162454
Type 2 · Organisation
Taxonomy Code
3336C0004X
Contact
(208) 939-8008
License ID · 1651RP
Last Updated
Enumerated
Primary practice addressID · 83616-4911
149 W State St Ste 101Eagle, ID 83616-4911
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About this NPIWhat this record shows.

NPI 1508162454 is registered to Customedica Pharmacy INC, a healthcare organisation classified as "Compounding Pharmacy" and located at 149 W State St Ste 101 in Eagle, Idaho. The organisation's authorised official is Shah Afshar. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 2128455· Issued by PK

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Customedica Pharmacy INC accepts. To confirm in-network status with your specific health plan, contact Customedica Pharmacy INC directly at (208) 939-8008.

Frequently asked

Yes. NPI 1508162454 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Compounding Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 939-8008.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Customedica Pharmacy INC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy3336C0004X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Compounding Pharmacy providers in Idaho.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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