OrganizationActive
Custom Rx
NPI 1457682114 · Pharmacy · Kuna, ID
Custom Rx is a Pharmacy organization in Kuna, ID (NPI 1457682114).
Provider details
- NPI number
- 1457682114
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Travis Walthall, Pharmacist/Manager(208) 631-8141
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
173 W 4th St
Kuna, ID 83634-2046
Phone: (208) 922-4400
Fax: (208) 922-4499
Street-level locationGet directions
Mailing address
Po Box 246
Kuna, ID 83634-0246
Other names (DBA / former)
- Doing business as
- Custom Rx Pharmacy
Registry dates
- Enumerated
- 2010-01-20
- Last updated
- 2016-06-17
Frequently asked questions
- What is Custom Rx's NPI number?
- Custom Rx's National Provider Identifier (NPI) is 1457682114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Rx?
- Custom Rx is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Custom Rx located?
- Custom Rx's practice location on file with NPPES is 173 W 4th St, Kuna, ID 83634-2046.
- What is Custom Rx's phone number?
- The practice phone number listed in the NPPES registry for Custom Rx is (208) 922-4400.
- Who is the authorized official for Custom Rx?
- The authorized official listed on Custom Rx's NPPES record is Travis Walthall, Pharmacist/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Rx's NPI active?
- Yes — Custom Rx's NPI (1457682114) is active in the NPPES registry as of the last update on 2016-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.