Customedica Pharmacy Inc
Customedica Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Eagle, ID, holding Type 2 (organization) NPI 1780729988 since 2007. The authorized official on file is Matthew Murray, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780729988 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Customedica Pharmacy Inc |
| Practice address | 149 W STATE ST STE 101, Eagle, ID, 83616 |
| Phone | 2089398008 |
| Fax | 2089381067 |
| Enumeration date | 2007-02-21 |
| Last updated in NPPES | 2026-01-17 |
Authorized official
| Name | Matthew Murray |
|---|---|
| Title | President |
| Phone | 2089398008 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 1651CP | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780729988 | Medicaid | ID | — |
| 1651RP | Other | ID | REGISTRATION |
Copy-ready billing details
Provider: Customedica Pharmacy Inc NPI: 1780729988 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 149 W STATE ST STE 101, Eagle, ID, 83616
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508162454 | Customedica Pharmacy Inc | Organization | Compounding Pharmacy | Eagle, ID |
| 1295101400 | Alex Wald | Individual | Pharmacist | Eagle, ID |
| 1447710728 | Alyssa Zibrowski | Individual | Pharmacist | Eagle, ID |
Verify this record
Cross-check NPI 1780729988 against the authoritative CMS record: view Customedica Pharmacy 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 is a Type 2 NPI?
What type of organization is Customedica Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2026-01-17.