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CUSTOM RX PHARMACY LLC
NPI 1003278656
Pharmacy - Community/Retail Pharmacy in Forest Hills, NY

Active since March 23, 2016
10203A QUEENS BLVD, FOREST HILLS, NY 11375(718) 830-4500(718) 830-4505 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2016, Mar 23, 2016 (2 updates tracked since 2016).

About Custom Rx Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOM RX PHARMACY LLC (NPI 1003278656), doing business as Customrxpharmacyllc, is a healthcare organization registered as a community/retail pharmacy in Forest Hills, New York and active in the NPI registry since March 2016. The organization lists Albert Pinkhasov, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1003278656
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCUSTOM RX PHARMACY LLC
Location Address10203A QUEENS BLVDForest Hills, NY 11375
Mailing Address10203a Queens BlvdForest Hills, NY 11375-2857 · (718) 830-4500 · Fax (718) 830-4505
Phone(718) 830-4500
Fax(718) 830-4505
Organization SubpartNo
Authorized OfficialAlbert PinkhasovPharmacist · (718) 830-4500
Enumeration DateMarch 23, 2016
Last NPPES UpdateDecember 16, 20162 updates tracked since enumeration
✔ NPI 1003278656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NY · 034366
Definition
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.
10203A QUEENS BLVD, Forest Hills, NY 11375
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Other Names 1

Former Legal Business NameCustomrxpharmacyllc

Other Identifiers 2

Medicaid04552214NY
Medicare NSC7558880001NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Buckeye Health Plan, Ambetter Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 20

Medicare supplier enrollment and the product categories Custom Rx Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Custom Rx Pharmacy LLC

DMEPOS supplier · Forest Hills, NY
⋮

Does not accept Medicare assignment

Custom Rx Pharmacy LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20477051
Medicare Participant SinceAugust 11, 2016
Supplier Location10203A Queens BlvdForest Hills, NY 11375
Phone(718) 830-4500
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Custom Rx Pharmacy LLC's NPI number?

The NPI number for Custom Rx Pharmacy LLC is 1003278656. It was assigned to this organization in the NPPES registry on March 23, 2016. The provider was formerly known as Customrxpharmacyllc.

Where is Custom Rx Pharmacy LLC located?

Custom Rx Pharmacy LLC is located at 10203A Queens Blvd, Forest Hills, NY 11375. The listed phone number is (718) 830-4500.

What is Custom Rx Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Custom Rx Pharmacy LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Custom Rx Pharmacy LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Custom Rx Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Anthem Blue Cross and Blue Shield and 33 other insurers list Custom Rx Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Custom Rx Pharmacy LLC was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.