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CUSTOM PHARMACY INNOVATIONS INC
NPI 1073606240
Pharmacy - Community/Retail Pharmacy in Nicoma Park, OK

Active since October 02, 2006
10911 NE 23RD, NICOMA PARK, OK 73066(405) 769-8585(405) 769-8787 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Custom Pharmacy Innovations Inc NPPES

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

CUSTOM PHARMACY INNOVATIONS INC (NPI 1073606240) is a healthcare organization registered as a community/retail pharmacy in Nicoma Park, Oklahoma and active in the NPI registry since October 2006. The organization lists Farhana Kabir, Managing Owner, as its authorized official.

NPPES Registry Identity

NPI1073606240
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCUSTOM PHARMACY INNOVATIONS INC
Location Address10911 NE 23RDNicoma Park, OK 73066
Mailing AddressPo Box 489Nicoma Park, OK 73066-0489 · (405) 769-8585 · Fax (405) 769-8787
Phone(405) 769-8585
Fax(405) 769-8787
Organization SubpartNo
Authorized OfficialFarhana KabirManaging Owner · (405) 769-8585
Enumeration DateOctober 2, 2006
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1073606240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OK · 18135
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
10911 NE 23RD, Nicoma Park, OK 73066
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Other Identifiers 2

Other2077070Pk
Medicaid200095530AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
273 services273 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
265 services265 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
52 services52 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
40 services40 patients
Pneumococcal vaccine, 23-valent 90732
The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.
12 services12 patients

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 Pharmacy Innovations Inc's NPI number?

The NPI number for Custom Pharmacy Innovations Inc is 1073606240. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Custom Pharmacy Innovations Inc located?

Custom Pharmacy Innovations Inc is located at 10911 NE 23rd, Nicoma Park, OK 73066. The listed phone number is (405) 769-8585.

What is Custom Pharmacy Innovations Inc's specialty?

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

What insurance does Custom Pharmacy Innovations Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Custom Pharmacy Innovations Inc 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 Pharmacy Innovations Inc was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.