Custom Pharmacy LLC
NPI 1942512330ActiveOrganization· Pharmacy, Compounding Pharmacy· Mesa, AZ
Pharmacy, Compounding Pharmacy in Mesa, Arizona, registered in NPPES in July 2010. The authorized official on file is Karen Kay Hardman, Mamager.
Overview
| NPI | 1942512330 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2010 |
| Last updated in NPPES | Jul 14, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | Y005191 | AZ |
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 |
|---|
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