CUSTOMEDICA PHARMACY INC
NPI 1982159133
Pharmacy - Community/Retail Pharmacy in Boise, ID

Q: What is Customedica Pharmacy Inc's NPI number?

The NPI number for Customedica Pharmacy Inc is 1982159133. It was assigned to this organization in the NPPES registry on August 17, 2016. The provider is doing business as Customedica Pharmacy North End.

Q: 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.

Active since August 17, 2016

1915 W STATE ST, BOISE, ID 83702(208) 515-2211(208) 515-7989 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2026, Nov 7, 2016, Oct 28, 2016 and 3 more (6 updates tracked since 2016).

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About Customedica Pharmacy Inc NPPES

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

CUSTOMEDICA PHARMACY INC (NPI 1982159133), doing business as Customedica Pharmacy North End, is a healthcare organization registered as a community/retail pharmacy in Boise, Idaho and active in the NPI registry since August 2016. The organization lists Matthew C Murray, President, as its authorized official.

NPPES Registry Identity

NPI1982159133

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameCUSTOMEDICA PHARMACY INC

Location Address1915 W STATE STBoise, ID 83702-3958

Mailing Address1915 W State StBoise, ID 83702-3958 · (208) 515-2211 · Fax (208) 515-7989

Phone(208) 515-2211

Fax(208) 515-7989

Organization SubpartNo

Authorized OfficialMatthew C MurrayPresident · (208) 939-8008

Enumeration DateAugust 17, 2016

Last NPPES UpdateJanuary 5, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1982159133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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.

Also ListedPharmacyTaxonomy 333600000X · License 43415RP (ID)

1915 W STATE ST, Boise, ID 83702

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Other Names 1

Doing Business AsCustomedica Pharmacy North End

Other Identifiers 1

Medicaid1982159133ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2188141

Customedica Pharmacy North End · Boise, ID

Expired · Jul 12, 2026

CLIA Number13D2188141

Laboratory TypePharmacy

Certificate Effective DateJuly 13, 2024

Certificate Expiration DateJuly 12, 2026

Laboratory DirectorMatthew C. Murray Pharmd

Laboratory Phone(208) 515-2211

Laboratory LocationCustomedica Pharmacy North End1915 W State St, Boise, ID 83702

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CAITLIN TRISLER PHARMD

Pharmacist

1915 W STATE ST
BOISE, ID 83702

Ada County (208) 515-2211

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 1982159133. It was assigned to this organization in the NPPES registry on August 17, 2016. The provider is doing business as Customedica Pharmacy North End.

Where is Customedica Pharmacy Inc located?

Customedica Pharmacy Inc is located at 1915 W State St, Boise, ID 83702. The listed phone number is (208) 515-2211.

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 48 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 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.