FORT WAYNE CUSTOM RX
NPI 1841347481
Pharmacist in Fort Wayne, IN

Active since January 05, 2007
425 E DUPONT RD, FORT WAYNE, IN 46825(260) 490-3447(260) 490-3457 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Fort Wayne Custom Rx NPPES

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

FORT WAYNE CUSTOM RX (NPI 1841347481) is a healthcare organization registered as a pharmacist in Fort Wayne, Indiana and active in the NPI registry since January 2007. The organization lists Gregory S Russell, President, as its authorized official.

NPPES Registry Identity

NPI1841347481
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameFORT WAYNE CUSTOM RX, INC
Location Address425 E DUPONT RDFort Wayne, IN 46825-2051
Mailing Address425 E Dupont RdFort Wayne, IN 46825-2051 · (260) 490-3447 · Fax (260) 490-3457
Fax(260) 490-3457
Organization SubpartNo
Authorized OfficialGregory S RussellPresident · (260) 490-3447
Enumeration DateJanuary 5, 2007
Last NPPES UpdateNovember 12, 2014
NPI 1841347481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IN · 26015397
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
425 E DUPONT RD, Fort Wayne, IN 46825

Other Names 1

Doing Business AsFort Wayne Custom Rx

Other Identifiers 3

Medicaid201228830AIN
OtherIN2083IN · Medicare Mass Immunization (roster Billing)
Medicare ID-Type Unspecified5391700001IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacist
425 E DUPONT RD
FORT WAYNE, IN 46825

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 Fort Wayne Custom Rx, Inc's NPI number?

The NPI number for Fort Wayne Custom Rx, Inc is 1841347481. It was assigned to this organization in the NPPES registry on January 5, 2007. The provider is doing business as Fort Wayne Custom Rx.

Where is Fort Wayne Custom Rx, Inc located?

Fort Wayne Custom Rx, Inc is located at 425 E Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (260) 490-3447.

What is Fort Wayne Custom Rx, Inc's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

What insurance does Fort Wayne Custom Rx, Inc accept?

Health plans from SummaCare list Fort Wayne 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 Fort Wayne Custom Rx, Inc was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.