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Customedica Pharmacy Inc

Community/Retail Pharmacy in Eagle, ID · enumerated 2007 · authorized official Matthew Murray, President.

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

National Provider Identifier

1780729988

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Registry record

Entity type Organization (Type 2)
Legal business name Customedica Pharmacy Inc
Practice address 149 W State St Ste 101, Eagle, ID, 83616
Fax (208) 938-1067
Enumeration date Feb 21, 2007
Last updated in NPPES Jan 17, 2026

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 1651CP (ID) Primary

Authorized official

Name Matthew Murray
Title President

Other identifiers

Identifier Type State Issuer
1780729988 Medicaid ID -
1651RP Other ID REGISTRATION

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 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.
What type of organization is Customedica Pharmacy Inc?
Customedica Pharmacy Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-17.