Custom Compounds Inc
Custom Compounds Inc is a healthcare organization registered as Community/Retail Pharmacy in Norfolk, VA, holding Type 2 (organization) NPI 1447276571 since 2006. The authorized official on file is Gino Bortoluzzi, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1447276571 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Custom Compounds Inc |
| Other name | <Unavail> |
| Practice address | 400 GRESHAM DR, Norfolk, VA, 23507 |
| Phone | 7576220222 |
| Fax | 7576239010 |
| Enumeration date | 2006-07-14 |
| Last updated in NPPES | 2010-10-04 |
Authorized official
| Name | Gino Bortoluzzi |
|---|---|
| Title | Owner |
| Phone | 7576220222 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336S0011X | Specialty Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 0201002286 | VA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4808222 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 8515999 | Medicaid | VA | — |
Copy-ready billing details
Provider: Custom Compounds Inc NPI: 1447276571 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 400 GRESHAM DR, Norfolk, VA, 23507
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548269483 | Alex Williams | Individual | Gastroenterology Physician | Norfolk, VA |
| 1124027149 | Stephen Caplan | Individual | Gastroenterology Physician | Norfolk, VA |
| 1396794947 | William Blaylock | Individual | Personal Emergency Response Attendant | Norfolk, VA |
| 1952353195 | Harlan Rust | Individual | Nephrology Physician | Norfolk, VA |
| 1851325997 | Tasha Stone | Individual | Family Nurse Practitioner | Norfolk, VA |
| 1477666147 | Caplan Colonoscopy & Endoscopy, LLC | Organization | Gastroenterology Physician | Norfolk, VA |
| 1063529097 | Theresa Whibley | Individual | Obstetrics & Gynecology Physician | Norfolk, VA |
| 1740397678 | Carol Nottingham | Individual | Obstetrics & Gynecology Physician | Norfolk, VA |
Verify this record
Cross-check NPI 1447276571 against the authoritative CMS record: view Custom Compounds Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Custom Compounds Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-10-04.