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CUSTOM HEALTH PHARMACY, INC
NPI 1104088020
Pharmacy - Compounding Pharmacy in Green Bay, WI

Active since July 01, 2008
844 WILLARD DR STE 7, GREEN BAY, WI 54304(920) 884-7345(920) 884-7346 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Custom Health Pharmacy, Inc NPPES

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

CUSTOM HEALTH PHARMACY, INC (NPI 1104088020) is a healthcare organization registered as a compounding pharmacy in Green Bay, Wisconsin and active in the NPI registry since July 2008. The organization lists John Sowinski, Pharmacist/president, as its authorized official.

NPPES Registry Identity

NPI1104088020
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameCUSTOM HEALTH PHARMACY INC
Location Address844 WILLARD DR STE 7Green Bay, WI 54304-5265
Mailing Address844 Willard Dr Ste 7Green Bay, WI 54304-5265 · (920) 884-7345 · Fax (920) 884-7346
Phone(920) 884-7345
Fax(920) 884-7346
Organization SubpartNo
Authorized OfficialJohn SowinskiPharmacist/president · (920) 482-3145
Enumeration DateJuly 1, 2008
Last NPPES UpdateMay 16, 2016
✔ NPI 1104088020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in WI · 9354-42
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacyTaxonomy 333600000X
844 WILLARD DR STE 7, Green Bay, WI 54304
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Other Names 1

Doing Business AsCustom Health Pharmacy, Inc

Other Identifiers 1

Other2133536Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Medica and more.Insurance ›

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 Health Pharmacy Inc's NPI number?

The NPI number for Custom Health Pharmacy Inc is 1104088020. It was assigned to this organization in the NPPES registry on July 1, 2008. The provider is doing business as Custom Health Pharmacy, Inc.

Where is Custom Health Pharmacy Inc located?

Custom Health Pharmacy Inc is located at 844 Willard Dr Ste 7, Green Bay, WI 54304. The listed phone number is (920) 884-7345.

What is Custom Health Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

What insurance does Custom Health Pharmacy Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Medica, Moda Health Plan, Inc. and Molina Healthcare and 6 other insurers list Custom Health Pharmacy 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 Health Pharmacy Inc was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.