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CUSTOM RX PHARMACY & WELLNESS CONCEPTS
NPI 1811091879
Pharmacy - Compounding Pharmacy in Wichita, KS

Active since September 12, 2006
3510 N RIDGE RD STE 900, WICHITA, KS 67205(316) 721-2626(316) 721-4823 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Jul 19, 2018, Apr 26, 2018 and 1 more (4 updates tracked since 2016).

About Custom Rx Pharmacy & Wellness Concepts NPPES

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

CUSTOM RX PHARMACY & WELLNESS CONCEPTS (NPI 1811091879) is a healthcare organization registered as a compounding pharmacy in Wichita, Kansas and active in the NPI registry since September 2006. The organization lists Nicholas L Branam, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1811091879
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameCUSTOM RX INC
Location Address3510 N RIDGE RD STE 900Wichita, KS 67205-1225
Mailing Address3510 N Ridge Rd Ste 900Wichita, KS 67205-1225 · (316) 721-2626 · Fax (316) 721-4823
Phone(316) 721-2626
Fax(316) 721-4823
Organization SubpartNo
Authorized OfficialNicholas L BranamPharmacist In Charge · (316) 721-2626
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJuly 12, 20234 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1811091879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Licenses✔ Licensed in AR · OS02495✔ Licensed in NM · PH00004390✔ Licensed in ID · 44645MS✔ Licensed in IA · 4477✔ Licensed in IL · 054.019573✔ Licensed in IN · 64001361A✔ Licensed in NV · PH02874✔ Licensed in MN · 264830✔ Licensed in GA · PHNR000914✔ Licensed in ND · PHAR1497✔ Licensed in KS · 209867✔ Licensed in FL · PH17904✔ Licensed in MO · 2012019217✔ Licensed in NE · 758✔ Licensed in NC · 13708
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.
3510 N RIDGE RD STE 900, Wichita, KS 67205
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Other Names 1

Doing Business AsCustom Rx Pharmacy & Wellness Concepts

Other Identifiers 2

Other2027079Pk
Medicaid100445230CKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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 Inc's NPI number?

The NPI number for Custom Rx Inc is 1811091879. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as Custom Rx Pharmacy & Wellness Concepts.

Where is Custom Rx Inc located?

Custom Rx Inc is located at 3510 N Ridge Rd Ste 900, Wichita, KS 67205. The listed phone number is (316) 721-2626.

What is Custom Rx Inc's specialty?

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

What insurance does Custom Rx Inc accept?

Health plans from Medica and Moda Health Plan, Inc. list Custom Rx 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 Custom Rx Inc was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.