Custom Pharmacy Innovations Inc
NPI 1073606240 · Community/Retail Pharmacy · Nicoma Park, OK
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Custom Pharmacy Innovations Inc is a Community/Retail Pharmacy organization in Nicoma Park, OK (NPI 1073606240).
Provider details
- NPI number
- 1073606240
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Farhana Kabir, Managing Owner(405) 769-8585
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
514 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 273 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 189 | $40 |
| Administration of Pneumococcal VaccineG0009 | 52 | $30 |
Typical Medicare-allowed amounts for these services range $30–$40 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Frequently asked questions
- What is Custom Pharmacy Innovations Inc's NPI number?
- Custom Pharmacy Innovations Inc's National Provider Identifier (NPI) is 1073606240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Pharmacy Innovations Inc?
- Custom Pharmacy Innovations Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Custom Pharmacy Innovations Inc located?
- Custom Pharmacy Innovations Inc's practice location on file with NPPES is 10911 Ne 23rd, Nicoma Park, OK 73066.
- What is Custom Pharmacy Innovations Inc's phone number?
- The practice phone number listed in the NPPES registry for Custom Pharmacy Innovations Inc is (405) 769-8585.
- Does Custom Pharmacy Innovations Inc accept Medicare?
- Custom Pharmacy Innovations Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Custom Pharmacy Innovations Inc?
- The authorized official listed on Custom Pharmacy Innovations Inc's NPPES record is Farhana Kabir, Managing Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Pharmacy Innovations Inc's NPI active?
- Yes — Custom Pharmacy Innovations Inc's NPI (1073606240) is active in the NPPES registry as of the last update on 2025-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.