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Custom Rx Inc

NPI 1811091879ActiveOrganization· Pharmacy, Compounding Pharmacy· Wichita, KS

Pharmacy, Compounding Pharmacy in Wichita, Kansas, registered in NPPES in September 2006. The authorized official on file is Nicholas L. Branam, PHARM.D., Pharmacist In Charge.

Overview

NPI1811091879
StatusActive
Entity typeOrganization
NPI issuedSep 12, 2006
Last updated in NPPESJul 12, 2023
Certified by providerJul 12, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Compounding Pharmacy Primary3336C0004XOS02495AR
Pharmacy, Compounding Pharmacy3336C0004XPH00004390NM
Pharmacy, Compounding Pharmacy3336C0004X44645MSID
Pharmacy, Compounding Pharmacy3336C0004X4477IA
Pharmacy, Compounding Pharmacy3336C0004X054.019573IL
Pharmacy, Compounding Pharmacy3336C0004X64001361AIN
Pharmacy, Compounding Pharmacy3336C0004X209867KS
Pharmacy, Compounding Pharmacy3336C0004XPH17904FL
Pharmacy, Compounding Pharmacy3336C0004X2012019217MO
Pharmacy, Compounding Pharmacy3336C0004XPH02874NV
Pharmacy, Compounding Pharmacy3336C0004X264830MN
Pharmacy, Compounding Pharmacy3336C0004XPHNR000914GA
Pharmacy, Compounding Pharmacy3336C0004XPHAR1497ND
Pharmacy, Compounding Pharmacy3336C0004X758NE
Pharmacy, Compounding Pharmacy3336C0004X13708NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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