Custom Health Pharmacy Inc
NPI 1104088020ActiveOrganization· Pharmacy, Compounding Pharmacy· Green Bay, WI
Pharmacy, Compounding Pharmacy in Green Bay, Wisconsin, registered in NPPES in July 2008. The authorized official on file is John Sowinski, Pharmacist/President.
Overview
| NPI | 1104088020 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2008 |
| Last updated in NPPES | May 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | 9354-42 | WI |
| Pharmacy | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|