CUSTOM CARE PHARMACY LLC
NPI 1174302277
Pharmacy - Community/Retail Pharmacy in Houston, TX

NPI Status: Active since September 27, 2023

Contact Information

20320 NORTHWEST FREEWAY SUITE 300
HOUSTON, TX
ZIP 77065
Phone: (832) 688-9666
Fax: (832) 604-7291

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 45D2263836
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 07-05-2026

About CUSTOM CARE PHARMACY LLC

This page provides the complete NPI Profile along with additional information for Custom Care Pharmacy Llc, a provider established in Houston, Texas operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1174302277 assigned on September 2023. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Carmalita Marie Landry-ovid Pharm D (Pic)

NPI
1174302277
Provider Name
CUSTOM CARE PHARMACY LLC
Entity Type
Organization
Location Address
20320 NORTHWEST FREEWAY SUITE 300 HOUSTON, TX 77065
Location Phone
(832) 688-9666
Location Fax
(832) 604-7291
Mailing Address
20320 NORTHWEST FREEWAY SUITE 300 HOUSTON, TX 77065
Mailing Phone
(832) 688-9666
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2023
Last Update Date
09-27-2023
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Custom Care Pharmacy Llc is a medicare supplier with PTAN 20456609 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Nebulizer Drugs.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARMALITA MARIE LANDRY-OVID PHARM D

Authorized Official Title
PIC
Authorized Official Phone
(832) 688-9666

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20456609
Accepts Medicare Assignment
YES
Specialities List
Certified Other, Pharmacy.
Competitive Bidding
NO

Supplies List

  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2263836
Facility Type
Pharmacy
Certificate Effective Date
July 06, 2024
Certificate Expiration Date
July 05, 2026
Laboratory Director
CARMALITA LANDRY OVID
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Custom Care Pharmacy Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174302277, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 3 → 6 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 6 + 0 + 4 + 2 + 1 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1174302277.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174302277, enumerated as an "organization" on September 27, 2023.

The provider is located at 20320 NORTHWEST FREEWAY SUITE 300 HOUSTON, TX 77065 and the phone number is (832) 688-9666.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.