CUSTOMEDICA PHARMACY INC
NPI 1780729988
Pharmacy - Community/Retail Pharmacy in Eagle, ID

Active since February 21, 2007
149 W STATE ST STE 101, EAGLE, ID 83616(208) 939-8008(208) 938-1067 Get Directions Write a Review

NPPES record last updated: January 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2026, Jan 5, 2026, Mar 7, 2023 (3 updates tracked since 2023).

About Customedica Pharmacy Inc NPPES

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

CUSTOMEDICA PHARMACY INC (NPI 1780729988) is a healthcare organization registered as a community/retail pharmacy in Eagle, Idaho and active in the NPI registry since February 2007. The organization lists Matthew C Murray, President, as its authorized official.

NPPES Registry Identity

NPI1780729988
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCUSTOMEDICA PHARMACY INC
Location Address149 W STATE ST STE 101Eagle, ID 83616-4911
Mailing Address149 W State St Ste 101Eagle, ID 83616-4911 · (208) 939-8008 · Fax (208) 938-1067
Fax(208) 938-1067
Organization SubpartNo
Authorized OfficialMatthew C MurrayPresident · (208) 939-8008
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJanuary 17, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2026
NPI 1780729988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in ID · 1651CP
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.

149 W STATE ST STE 101, Eagle, ID 83616

Other Identifiers 2

Medicaid1780729988ID
Other1651RPID · Registration

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Pharmacy (Compounding Pharmacy)
149 W STATE ST STE 101
EAGLE, ID 83616
Pharmacist
149 W STATE ST STE 101
EAGLE, ID 83616
Pharmacist
149 W STATE ST STE 101
EAGLE, ID 83616

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 Customedica Pharmacy Inc's NPI number?

The NPI number for Customedica Pharmacy Inc is 1780729988. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Customedica Pharmacy Inc located?

Customedica Pharmacy Inc is located at 149 W State St Ste 101, Eagle, ID 83616. The listed phone number is (208) 939-8008.

What is Customedica Pharmacy Inc's specialty?

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

What insurance does Customedica Pharmacy Inc 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 Customedica Pharmacy Inc 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 Customedica Pharmacy Inc was last updated on January 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.