OrganizationActive
Customized Medication, LLC
NPI 1497916548 · Clinic/Center · Elkhart, IN
Provider details
- NPI number
- 1497916548
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Sargent, Owner(574) 522-1940
- License
- 60005663A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
17 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
541 Roske Dr Ste E
Elkhart, IN 46516-9323
Phone: (574) 522-1940
Fax: (574) 522-1990
Street-level locationGet directions
Mailing address
58147 Diener Dr
Goshen, IN 46528-7723
Registry dates
- Enumerated
- 2008-06-21
- Last updated
- 2013-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.