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CUSTOM MED PLUS
NPI 1235781840
Pharmacy - Long Term Care Pharmacy in Chicago, IL

Active since July 13, 2019
4312 N. PULASKI, CHICAGO, IL 60641(708) 289-6721(779) 803-0170 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2023, Jul 13, 2019 (2 updates tracked since 2019).

About Custom Med Plus NPPES

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

CUSTOM MED PLUS (NPI 1235781840) is a healthcare organization registered as a long term care pharmacy in Chicago, Illinois and active in the NPI registry since July 2019. The organization lists Inas Dahabra, Manager, as its authorized official.

NPPES Registry Identity

NPI1235781840
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCUSTOM MED, LLC
Location Address4312 N. PULASKIChicago, IL 60641
Mailing Address4312 N. PulaskiChicago, IL 60641 · (708) 289-6721 · Fax (779) 803-0170
Phone(708) 289-6721
Fax(779) 803-0170
Organization SubpartNo
Authorized OfficialInas DahabraManager · (708) 289-6721
Enumeration DateJuly 13, 2019
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1235781840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
4312 N. PULASKI, Chicago, IL 60641
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Other Names 1

Doing Business AsCustom Med Plus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans 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 Med, LLC's NPI number?

The NPI number for Custom Med, LLC is 1235781840. It was assigned to this organization in the NPPES registry on July 13, 2019. The provider is doing business as Custom Med Plus.

Where is Custom Med, LLC located?

Custom Med, LLC is located at 4312 N. Pulaski, Chicago, IL 60641. The listed phone number is (708) 289-6721.

What is Custom Med, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Custom Med, LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Kansas City and 5 other insurers list Custom Med, 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 Med, LLC was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.