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KUSTOM WELLNESS
NPI 1710403043
Pharmacy in Palm Beach Gardens, FL

Active since August 18, 2017
4550 DONALD ROSS RD STE 113, PALM BEACH GARDENS, FL 33418(561) 469-1558 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Aug 18, 2017 (3 updates tracked since 2017).

About Kustom Wellness NPPES

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

KUSTOM WELLNESS (NPI 1710403043) is a healthcare organization registered as a pharmacy in Palm Beach Gardens, Florida and active in the NPI registry since August 2017. The organization lists Tracy Kirkpatrick, President, as its authorized official.

NPPES Registry Identity

NPI1710403043
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKUSTOM WELLNESS, INC
Location Address4550 DONALD ROSS RD STE 113Palm Beach Gardens, FL 33418-5104
Mailing Address4550 Donald Ross Rd Ste 113Palm Beach Gardens, FL 33418-5104 · (561) 469-1558
Phone(561) 469-1558
Organization SubpartNo
Authorized OfficialTracy KirkpatrickPresident · (561) 469-1558
Enumeration DateAugust 18, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1710403043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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.
4550 DONALD ROSS RD STE 113, Palm Beach Gardens, FL 33418
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Other Names 1

Doing Business AsKustom Wellness

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 Kustom Wellness, Inc's NPI number?

The NPI number for Kustom Wellness, Inc is 1710403043. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is doing business as Kustom Wellness.

Where is Kustom Wellness, Inc located?

Kustom Wellness, Inc is located at 4550 Donald Ross Rd Ste 113, Palm Beach Gardens, FL 33418. The listed phone number is (561) 469-1558.

What is Kustom Wellness, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Kustom Wellness, Inc was last updated on July 21, 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.