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: July 19, 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
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

Other Identifiers 2

Medicaid300033680IN
Other2135170Pk

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 645 times for 641 patients

Administration of pneumococcal vaccine

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.

This service was performed 15 times for 15 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 622 times for 618 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

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.

This service was performed 15 times for 15 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20420045
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
482 W NAVAJO ST STE A
WEST LAFAYETTE, IN 47906
Pharmacist
482 W NAVAJO ST STE A
WEST LAFAYETTE, IN 47906
Pharmacist
482 W NAVAJO ST STE A
WEST LAFAYETTE, IN 47906
Pharmacist
482 W NAVAJO ST STE A
WEST LAFAYETTE, IN 47906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396011888, enumerated as an "organization" on March 28, 2012.

The provider is located at 482 W NAVAJO ST STE A WEST LAFAYETTE, IN 47906 and the phone number is (765) 463-2600.

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

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.