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Custom Rx Inc

Compounding Pharmacy in Wichita, KS · enumerated 2006 · authorized official Nicholas Branam, Pharmacist in Charge.

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

National Provider Identifier

1811091879

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Custom Rx Inc
Other name <Unavail>
Practice address 3510 N Ridge Rd Ste 900, Wichita, KS, 67205
Fax (316) 721-4823
Enumeration date Sep 12, 2006
Last updated in NPPES Jul 12, 2023

Taxonomy & classification

3336C0004X Compounding Pharmacy Suppliers · License PH00004390 (NM) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 44645MS (ID) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 4477 (IA) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 054.019573 (IL) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 64001361A (IN) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 209867 (KS) Secondary
3336C0004X Compounding Pharmacy Suppliers · License OS02495 (AR) Primary
3336C0004X Compounding Pharmacy Suppliers · License PH17904 (FL) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 2012019217 (MO) Secondary
3336C0004X Compounding Pharmacy Suppliers · License PH02874 (NV) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 264830 (MN) Secondary
3336C0004X Compounding Pharmacy Suppliers · License PHNR000914 (GA) Secondary
3336C0004X Compounding Pharmacy Suppliers · License PHAR1497 (ND) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 758 (NE) Secondary
3336C0004X Compounding Pharmacy Suppliers · License 13708 (NC) Secondary

Authorized official

Name Nicholas Branam
Title Pharmacist in Charge

Other identifiers

Identifier Type State Issuer
2027079 Other - PK
100445230C Medicaid KS -

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

Who is the authorized official for Custom Rx Inc?
NPPES lists Nicholas Branam (Pharmacist in Charge) as the authorized official for this organization.
What is the NPI number for Custom Rx Inc?
The NPI for Custom Rx Inc is 1811091879, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-12.