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CUSTOMPP LLC
NPI 1396011888
Pharmacy - Community/Retail Pharmacy in West Lafayette, IN

Active since March 28, 2012
482 W NAVAJO ST STE A, WEST LAFAYETTE, IN 47906(765) 463-2600(765) 463-2601 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2022, Dec 27, 2019, Mar 14, 2018 and 6 more (9 updates tracked since 2015).

About Custompp Llc NPPES

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

CUSTOMPP LLC (NPI 1396011888) is a healthcare organization registered as a community/retail pharmacy in West Lafayette, Indiana and active in the NPI registry since March 2012. The organization lists Matthew Hutera, Owner, as its authorized official.

NPPES Registry Identity

NPI1396011888
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCUSTOMPP LLC
Location Address482 W NAVAJO ST STE AWest Lafayette, IN 47906-1940
Mailing Address482 W Navajo St Ste AWest Lafayette, IN 47906-1940 · (765) 463-2600 · Fax (765) 463-2601
Phone(765) 463-2600
Fax(765) 463-2601
Organization SubpartNo
Authorized OfficialMatthew HuteraOwner · (765) 463-2600
Enumeration DateMarch 28, 2012
Last NPPES UpdateMay 25, 20229 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1396011888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IN · 60006301A
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
482 W NAVAJO ST STE A, West Lafayette, IN 47906
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Other Identifiers 2

Medicaid300033680IN
Other2135170Pk

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 4

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.
645 services641 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
622 services618 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.
15 services15 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.
15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Customplus Pharmacy carries, from the Medicare DMEPOS supplier directory.

Customplus Pharmacy

DMEPOS supplier · West Lafayette, INOperated by Custompp LLC
⋮

Does not accept Medicare assignment

Customplus Pharmacy 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)20420045
Medicare Participant SinceAugust 28, 2019
Supplier Location482 W Navajo St Ste AWest Lafayette, IN 47906
Phone(765) 463-2600
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M NORRIS PHARMD
Pharmacist
482 W NAVAJO ST STE A
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 463-2600
BENJAMIN M RACHWAL R.PH.
Pharmacist
482 W NAVAJO ST STE A
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 463-2600
CUSTOM PLUS PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
482 W NAVAJO ST STE A
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 463-2600
TYLER JAMES GERLACH PHRAMD
Pharmacist
482 W NAVAJO ST STE A
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 463-2600

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 Custompp LLC's NPI number?

The NPI number for Custompp LLC is 1396011888. It was assigned to this organization in the NPPES registry on March 28, 2012.

Where is Custompp LLC located?

Custompp LLC is located at 482 W Navajo St Ste A, West Lafayette, IN 47906. The listed phone number is (765) 463-2600.

What is Custompp LLC's specialty?

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

Does Custompp LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Customplus Pharmacy 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 Custompp LLC 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 49 other insurers list Custompp 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 Custompp LLC was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.