CUSTOM MED APOTHECARY
NPI 1497963540
Pharmacy - Community/Retail Pharmacy in Indianapolis, IN

Active since May 21, 2007
5510 LAFAYETTE RD, SUITE 260, INDIANAPOLIS, IN 46254(317) 803-3436(317) 803-3437 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Custom Med Apothecary NPPES

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

CUSTOM MED APOTHECARY (NPI 1497963540) is a healthcare organization registered as a community/retail pharmacy in Indianapolis, Indiana and active in the NPI registry since May 2007. The organization lists Jeff Jackson, Member, as its authorized official.

NPPES Registry Identity

NPI1497963540
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCUSTOM MED APOTHECARY
Location Address5510 LAFAYETTE RD, SUITE 260Indianapolis, IN 46254-1685
Mailing Address5510 Lafayette Rd, Suite 260Indianapolis, IN 46254-1685 · (317) 803-3436 · Fax (317) 803-3437
Fax(317) 803-3437
Organization SubpartNo
Authorized OfficialJeff JacksonMember · (317) 803-3436
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1497963540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in IN · 60005496A
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.
5510 LAFAYETTE RD, Indianapolis, IN 46254

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 Apothecary's NPI number?

The NPI number for Custom Med Apothecary is 1497963540. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Custom Med Apothecary located?

Custom Med Apothecary is located at 5510 Lafayette Rd Suite 260, Indianapolis, IN 46254. The listed phone number is (317) 803-3436.

What is Custom Med Apothecary's specialty?

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

When was this NPI record last updated?

The NPPES record for Custom Med Apothecary was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.