CUSTOM RX, PC
NPI 1790925725
Pharmacy - Compounding Pharmacy in Broken Bow, NE
NPI Status: Active since March 03, 2009
Contact Information
540 S 8TH AVE STE B
BROKEN BOW, NE
ZIP 68822
Phone: (308) 872-5602
Fax: (308) 872-2377
- Organization
- Pharmacy
- Compounding Pharmacy
About CUSTOM RX, PC
This page provides the complete NPI Profile along with additional information for Custom Rx, Pc, a provider established in Broken Bow, Nebraska operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1790925725 assigned on March 2009. The practitioner's primary taxonomy code is 3336C0004X with license number 2818 (NE). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Mike D. Holcomb Pharmd (Pharmacist/owner)
- NPI
- 1790925725
- Provider Name
- CUSTOM RX, PC
- Entity Type
- Organization
- Location Address
- 540 S 8TH AVE STE B BROKEN BOW, NE 68822
- Location Phone
- (308) 872-5602
- Location Fax
- (308) 872-2377
- Mailing Address
- 540 S 8TH AVE STE B BROKEN BOW, NE 68822
- Mailing Phone
- (308) 872-5602
- Mailing Fax
- (308) 872-2377
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-03-2009
- Last Update Date
- 03-03-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Compounding Pharmacy
- Taxonomy Code
- 3336C0004X
- Type
- Suppliers
- License No.
- 2818
- License State
- NE
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2816265 | OTHER (01) | NE | NCPDP |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1790925725, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790925725, enumerated as an "organization" on March 03, 2009.
The provider is located at 540 S 8TH AVE STE B BROKEN BOW, NE 68822 and the phone number is (308) 872-5602.
Pharmacy with taxonomy code 3336C0004X and a focus in Compounding Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
