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CUSTOM RX PHARMACY
NPI 1457682114
Pharmacy in Kuna, ID

Active since January 20, 2010
173 W 4TH ST, KUNA, ID 83634(208) 922-4400(208) 922-4499 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Custom Rx Pharmacy NPPES

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

CUSTOM RX PHARMACY (NPI 1457682114) is a healthcare organization registered as a pharmacy in Kuna, Idaho and active in the NPI registry since January 2010. The organization lists Travis Walthall, Pharmacist/manager, as its authorized official.

NPPES Registry Identity

NPI1457682114
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCUSTOM RX
Location Address173 W 4TH STKuna, ID 83634-2046
Mailing AddressPo Box 246Kuna, ID 83634-0246 · (208) 922-4400 · Fax (208) 922-4499
Phone(208) 922-4400
Fax(208) 922-4499
Organization SubpartNo
Authorized OfficialTravis WalthallPharmacist/manager · (208) 631-8141
Enumeration DateJanuary 20, 2010
Last NPPES UpdateJune 17, 2016
✔ NPI 1457682114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in ID · 2399RP
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
173 W 4TH ST, Kuna, ID 83634
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Other Names 1

Doing Business AsCustom Rx Pharmacy

Other Identifiers 1

Other2123536Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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.

TRAVIS WALTHALL RPH
Pharmacist
173 W 4TH ST
KUNA, ID 83634
Ada County (208) 922-4400
CRX HEALTH SERVICES LLC
Pharmacy (Community/Retail Pharmacy)
173 W 4TH ST
KUNA, ID 83634
Ada County (208) 922-4400
DR. ERIC BRANDON SCHLERF PHARM.D.
Pharmacist
173 W 4TH ST
KUNA, ID 83634
Ada County (208) 922-4400
EDWARD WALTHALL PHARMD
Pharmacist
173 W 4TH ST
KUNA, ID 83634
Ada County (208) 922-4400

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 Rx's NPI number?

The NPI number for Custom Rx is 1457682114. It was assigned to this organization in the NPPES registry on January 20, 2010. The provider is doing business as Custom Rx Pharmacy.

Where is Custom Rx located?

Custom Rx is located at 173 W 4th St, Kuna, ID 83634. The listed phone number is (208) 922-4400.

What is Custom Rx's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Custom Rx accept?

Health plans from Medica and Moda Health Plan, Inc. list Custom Rx 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 Rx was last updated on June 17, 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.