CUSTOM RX, PC
NPI 1790925725
Pharmacy - Compounding Pharmacy in Broken Bow, NE

Q: What is Custom Rx, PC's NPI number?

The NPI number for Custom Rx, PC is 1790925725. It was assigned to this organization in the NPPES registry on March 3, 2009.

Q: What is Custom Rx, PC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

Q: When was this NPI record last updated?

The NPPES record for Custom Rx, PC was last updated on March 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 03, 2009

540 S 8TH AVE STE B, BROKEN BOW, NE 68822(308) 872-5602(308) 872-2377 Get Directions Write a Review

NPPES record last updated: March 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Custom Rx, Pc NPPES

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

CUSTOM RX, PC (NPI 1790925725) is a healthcare organization registered as a compounding pharmacy in Broken Bow, Nebraska and active in the NPI registry since March 2009. The organization lists Mike D. Holcomb, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1790925725

Entity TypeOrganization

Primary Taxonomy3336C0004X

Legal Business NameCUSTOM RX, PC

Location Address540 S 8TH AVE STE BBroken Bow, NE 68822-2456

Mailing Address540 S 8th Ave Ste BBroken Bow, NE 68822-2456 · (308) 872-5602 · Fax (308) 872-2377

Phone(308) 872-5602

Fax(308) 872-2377

Organization SubpartNo

Authorized OfficialMike D. HolcombPharmacist/owner · (308) 872-5602

Enumeration DateMarch 3, 2009

✔ NPI 1790925725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers

Taxonomy Code3336C0004X

License✔ Licensed in NE · 2818

Definition

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

540 S 8TH AVE STE B, Broken Bow, NE 68822

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Other Identifiers 1

Other2816265NE · Ncpdp

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, PC's NPI number?

The NPI number for Custom Rx, PC is 1790925725. It was assigned to this organization in the NPPES registry on March 3, 2009.

Where is Custom Rx, PC located?

Custom Rx, PC is located at 540 S 8th Ave Ste B, Broken Bow, NE 68822. The listed phone number is (308) 872-5602.

What is Custom Rx, PC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Custom Rx, PC was last updated on March 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.