Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Custom Care Pharmacy, LLC

Community/Retail Pharmacy in Clinton, MS · enumerated 2013 · authorized official Marco Moran, Pharmicist-in-Charge.

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

National Provider Identifier

1730510074

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Custom Care Pharmacy, LLC

Other name <Unavail>

Practice address 132 E Northside Dr, Suite C, Clinton, MS, 39056

Phone (601) 488-4360

Fax (877) 747-5326

Enumeration date Dec 12, 2013

Last updated in NPPES Dec 12, 2013

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 07892/2.2 (MS) Primary

3336C0004X Compounding Pharmacy Suppliers Secondary

3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Marco Moran

Title Pharmicist-in-Charge

Phone (318) 791-3765

Other identifiers

Identifier	Type	State	Issuer
2143363	Other	-	PK

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 → Validate an NPI →

Frequently asked questions

Where is Custom Care Pharmacy, LLC located?

The practice location on file with NPPES is in Clinton, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-12-12. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-12.