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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Custom Rx LLC

Community/Retail Pharmacy in Melba, ID · enumerated 2018 · authorized official Travis Walthall, Pic/Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477029577

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Custom Rx LLC
Parent organization Custom Rx LLC
Practice address 112 4th St, Melba, ID, 83641
Enumeration date Oct 17, 2018
Last updated in NPPES Oct 17, 2018

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Travis Walthall
Title Pic/Managing Member

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.

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Frequently asked questions

What type of organization is Custom Rx LLC?
Custom Rx LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-17.