OrganizationActive
Custom Health Pharmacy Inc
NPI 1104088020 · Compounding Pharmacy · Green Bay, WI
Custom Health Pharmacy Inc is a Compounding Pharmacy organization in Green Bay, WI (NPI 1104088020).
Provider details
- NPI number
- 1104088020
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Sowinski, Pharmacist/President(920) 482-3145
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
844 Willard Dr Ste 7
Green Bay, WI 54304-5265
Phone: (920) 884-7345
Fax: (920) 884-7346
Street-level locationGet directions
Mailing address
844 Willard Dr Ste 7
Green Bay, WI 54304-5265
Other names (DBA / former)
- Doing business as
- Custom Health Pharmacy, Inc
Registry dates
- Enumerated
- 2008-07-01
- Last updated
- 2016-05-16
Frequently asked questions
- What is Custom Health Pharmacy Inc's NPI number?
- Custom Health Pharmacy Inc's National Provider Identifier (NPI) is 1104088020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Health Pharmacy Inc?
- Custom Health Pharmacy Inc is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Custom Health Pharmacy Inc located?
- Custom Health Pharmacy Inc's practice location on file with NPPES is 844 Willard Dr Ste 7, Green Bay, WI 54304-5265.
- What is Custom Health Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Custom Health Pharmacy Inc is (920) 884-7345.
- Who is the authorized official for Custom Health Pharmacy Inc?
- The authorized official listed on Custom Health Pharmacy Inc's NPPES record is John Sowinski, Pharmacist/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Health Pharmacy Inc's NPI active?
- Yes — Custom Health Pharmacy Inc's NPI (1104088020) is active in the NPPES registry as of the last update on 2016-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.